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Parent and Child Information
  1. (required)
  2. (required)
  3. (valid email required)
  4. (valid email required)
  5. (required)
  6. (required)
  7. (required)
  8. Sex
  9. (required)
  10. (required)
  11. (required)
  12. (required)
  13. (required)
Emergency Information
  1. (required)
  2. (required)
Class Choice. Cost shown is per month.
  1. (required)
  2. If your 1st choice is full, we will automatically register your child for your 2nd choice and add you to the waiting list for the 1st choice.
Electronic Signature
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