Name of Attendee *
Name and gender pronouns we should use in class
Names of other attendees you are registering
Name of parent or guardian *
Email *
Address *
City *
State *
Zip/Post Code *
Country *
none selected
Afghanistan
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Phone (###-###-####)
Please let us know if your child has any special needs (allergies, learning issues, attention issues, injuries or medical conditions, or trauma history.) If you feel more comfortable, you can call the office. We will not have time at our first class to discuss these issues with instructors, so please let us know in advance so we can offer any accommodations that will support your child’s success in class.
Check the box to certify that all attendees are in 8th, 9th or 10th grade *
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I agree to the Refund and Cancellation Policy below: 1. If cancellation is received more than two weeks before class is held, your payment is fully refundable. 2. If registration is canceled, for any reason, less than 2 weeks before class is held, your payment is non-refundable. a. You may re-register for a future class for half price, or, b. You may transfer your registration to another child for this class series. Please advise us of the new student's name and their family contact information so we can send a new confirmation letter. We are unable to make any exceptions. If you have any questions, please contact us. *
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