SESSION *

Which session would you like to register for?

Fall

Spring (Indoor)

Spring (Outdoor)

Winter

NAME OF CHILD *

First Name

Last Name

DATE OF BIRTH *

MM

DD

YYYY

NAME OF PARENT *

First Name

Last Name

ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

BEST CONTACT PHONE NUMBER *

(###)

###

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EMERGENCY CONTACT NAME *

First Name

Last Name

EMERGENCY CONTACT PHONE NUMBER *

(###)

###

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IS YOUR CHILD ABLE TO FOLLOW DIRECTIONS? *

Yes

No

HOW DID YOU HEAR ABOUT US? *

Facebook

Google

A friend