Registration Registration Form (required fields*) *Parent Name *Parent Address *Parent Email Address *Parent Phone Number *Emergency Contact Name *Emergency Contact Phone Number Allowed Escort Name Allowed Escort Phone Number *Student 1 Name *Student 1 Age *Student 1 AgeStudent 1 Age: 4Student 1 Age: 5Student 1 Age: 6Student 1 Age: 7Student 1 Age: 8Student 1 Age: 9Student 1 Age: 10Student 1 Age: 11Student 1 Age: 12 Other Information (allergies, special needs, etc.) Group Classes (Student 1) Group Classes (Student 1) Monday, 4:00pm (ages 7-11) Tuesday, 1:30-2:30pm (ages Pre-K) Tuesday, 4:00pm (ages K–2nd grade) Wednesday, 3:30pm (ages 6-8) Thursday, 3:30pm (ages 8-12) Student 2 Name Student 2 Age Student 2 AgeStudent 1 Age: 4Student 1 Age: 5Student 1 Age: 6Student 1 Age: 7Student 1 Age: 8Student 1 Age: 9Student 1 Age: 10Student 1 Age: 11Student 1 Age: 12 Other Information (allergies, special needs, etc.) Group Classes (Student 2) Group Classes (Student 2) Monday, 4:00pm (ages 7-11) Tuesday, 1:30-2:30pm (ages Pre-K) Tuesday, 4:00pm (ages K–2nd grade) Wednesday, 3:30pm (ages 6-8) Thursday, 3:30pm (ages 8-12) Additional Artist Name/Age/Selections Where did you hear about us? 6 + 4 = Submit
