Excelsior Classes - Registration - CLUBS - 2017-2018 School Year
This form registers your family for a club membership. Upon receipt of this form, the parent will be invoiced a family registration fee per club. Two students per family are included for each club membership. Members outside the family are not included in the family club membership. Upon payment of the registration fee, the teacher will invoice for 100% of the club membership to reserve seats in the club. There are no refunds for club memberships although the seat may be given away to another family member.

Please fill out one form per club. If you need to register for more than one club, there is an option after submission to return to this form and fill out another one.

Please email registration@excelsiorclasses.com if you have any questions or problems.

Email address
Parent Last Name
Your answer
Parent First Name
Your answer
Parent Email for PayPal Invoice
Your answer
Parent Phone #
Your answer
Club Selection #1
Participant #1 First & Last Name
Your answer
Participant #1 Email
Your answer
Participant #2 First & Last Name
Your answer
Participant #2 Email
Your answer
Discount Code (if any)
Your answer
Confirmation
By placing your name in the next block, you signify your understanding that you will be invoiced for the registration fee and will subsequently be invoiced by the teacher(s) for club payment.
Your answer
Please complete the captcha before submitting the form.
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