NEW STUDENT REGISTRATION

In addition to submitting payment for classes via PayPal, we request that all first-time students submit the registration form below:

Name of Student

First Name

Last Name

Name of Parent / Guardian (If student is a minor)

First Name

Last Name

Phone

(###)

###

####

Any additional notes:

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

New Student Registration