Student Intake Form
Email address *
Parent or Adult Learner Name
Email Address
Phone number
What is your preferred method of contact?
Clear selection
Zoom is the platform/modality for the class. Do you already have a zoom account or can you make one (for free)?
Student Name(s), Age(s)
Class Level
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Are you interested in your student(s) doing the class during the school year or year-round?
Clear selection
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