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Student First & Last Name
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Grade for 2026-2027
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Please Select…
TK
FULL
FULL
2
3
4
5
6
Student First & Last Name
Grade for 2026-2027
Please Select…
TK
FULL
FULL
2
3
4
5
6
Student First & Last Name
Grade for 2026-2027
Please Select…
TK
FULL
FULL
2
3
4
5
6
Student First & Last Name
Grade for 2026-2027
Please Select…
TK
FULL
FULL
2
3
4
5
6
Emergency Contact
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Emergency Phone
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Allergies/Physical Precautions
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If none, please put "None."
Fee
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Includes cost of program and materials.
Please Select…
1 student - $575
2 students - $1150
3 students - $1725
4 students - $2300
1 student - 1 week - $210
1 student - 2 weeks - $420
2 students - 1 week - $420
2 students - 2 weeks - $840
3 students - 1 week - $630
3 students - 2 weeks - $1260
4 students - 1 week - $840
4 students - 2 weeks - $1680
If you are not attending all 3 weeks, which weeks will you be attending? (for example: Week 1 only OR Weeks 1 & 3) Or type N/A
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Parent Signature
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Please type your first and last name.
Home Phone
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Work Phone
Cell Phone
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Payment*
Registration is incomplete without payment.
I will drop off a check at the Front Office.
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