Online Summer Registration Form
To register yourself or child for summer classes, camps, or workshops, please complete the form below or download the printable form and mail it or drop it off at our office . Please complete this form separately for each student. Parents or legal guardian must complete the form for students under the age of 18.
Email address *
STUDENT INFORMATION
Student's Name: *
Your answer
Student's DOB: *
Your answer
Parent/Guardian Name: *
Your answer
Street Address:
Your answer
City, State, Zip:
Your answer
Daytime Phone Number:
Your answer
Evening Phone Number:
Your answer
Any medical conditions or allergies? *
Your answer
Emergency Contact #1 Name: *
Your answer
Emergency Contact #1 Phone: *
Your answer
Emergency Contact #2 Name:
Your answer
Emergency Contact #2 Phone:
Your answer
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