CHILD REGISTRATION FORM
(Ages 8-15)
Fill out form and submit - thank you.
Child's Name
Age
Address
City
Zip
Parent or Guardian
Phone
Additional Emergency Phone
Parent or Guardian
Email
Please indicate any disabilities or allergies, etc:
Please list other people authorized to pick up your child:
PREFERRED TIME OF DAY*
Private Lessons:
Class duration - 1-1/2 hours
2:00 - 3:30pm
4:00 - 5:30pm
6:30 - 8:00pm
Mon:
2:00 - 3:30pm
4:00 - 5:30pm
6:30 - 8:00pm
Tues:
2:00 - 2:30pm
4:00 - 5:30pm
6:30 - 8:00pm
Wed:
2:00 - 2:30pm
4:00 - 5:30pm
6:30 - 8:00pm
Thurs:
Sat:
10 - 11:30am
12 - 1:30pm
NOTE: ALL CHILDREN MUST BE ACCOMPANIED BY AN ADULT DURING CLASS TIME.
Class fee includes basic classroom materials.
Classes are subject to change.
What are the best times to call you?