Student Registration
Registration is not complete until you have received an email confirmation that a spot is available for your child.
Child Name *
(Last name, First name)
Age *
School *
Grade *
Teacher
Parent/Guardian Name *
(Last name, First name)
Relationship to Child *
Address *
Telephone Number *
Email *
Preferred method of contact *
For updates regarding changes in the program due to weather, etc.
Alternate Contact Person *
Relationship to Child *
Telephone Number *
Submit
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