Primary Contact's Name *

First Name

Last Name

Primary Contact's Phone *

(###)

###

####

Select Availability *

KIDS: Mondays 3:30pm - 5:30pm

KIDS: Mondays 5:45pm-7:45pm

KIDS: Tuesdays 3:15pm - 5:15pm

KIDS: Wednesdays 3:15pm - 5:15pm

KIDS: Thursdays 3:15pm - 5:15 pm

KIDS: Thursdays 5:30pm-7:30pm

TEENS: Tuesdays 6pm - 8pm

ADULT: Tuesdays 9:30am - 11:30am

ADULT: Wednesday 6pm - 8pm

I understand that the waitpool is currently 2-3 years long. *

Agree

Disagree

I understand that this form does not guarantee a spot, and that I will only be contacted only when a spot becomes available. *

Agree

Disagree

I understand that once I am added to a class, I am committing to the full 10 months of the class offering. *

Agree

Disagree