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Parent/Guardian Information

Parent/Guardian #1

Parent/Guardian #2

Student Information

Epi Pen?

Primary Emergency Contact During Class Time

Permission

Do I have permission to photograph your student?
Do I have permission to use your child’s photograph in future promotional materials?

Click below to read the Services Agreement/Waiver

Your Signature: By signing below you acknowledge you have read the Services Agreement/Waiver and you are signing as the Parent/Guardian or "Client" in the Services Agreement/Waiver. You understand there will be no refunds after class begins. *

Select a Course

*There will be no refunds once class begins. 
*All refunds will be minus a 5% processing fee.

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