Summer Registration Form

    The following student(s) want to register for the following FREE Summer Sampler Classes:

    Student’s Name(s) and Grade(s) (required):

    Student's Birth Month and Year (mm/yy required):

    Parents’ Name(s) (required):

    Mailing Address:

    Email Address (required)

    Home Telephone:

    Cell Phone:

    Emergency Phone/Contact:

    Class positions are limited in numbers and will be filled on a first come, first served basis.