Registration

2023-2024 Registration Form

When registering online, please plan to pay registration fees at the studio. Registration Fee - $50 1st Child/$40 2nd Child

* Indicates required field

Student Name *

Age *

Birth Date *

School *

Grade *

Medical Info/Health Concerns *

Parent Name *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Relation to Student *

Please type your name below to sign.

Signature *

Submit