Student Enrollment Form
Email address *
Student(s) Name *
Parent(s) Name (if student is a minor)
Phone *
Address *
Student's Birthday *
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CREDIT CARD AGREEMENT: A credit card number is required to be on file for all students. Monthly invoices will be generated during the first week of the month. Payments may be made via credit card, PayPal, check or cash. If monthly payments are not received by the 15th of the month, payment will be processed using the credit card on file. By writing your name below, you are authorizing payments as per this agreement. DO NOT ENTER YOUR CREDIT CARD INFO HERE. PLEASE CALL US WITH YOUR CREDIT CARD INFO. *
By checking the boxes (below), you are acknowledging your consent to each of the following: *
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