You may only complete this form for one class and one child at a time. If you have multiple children or multiple classes for which you'd like to be added to waitlist, you must complete this form for each child and each class.

*1.Please provide the child's name and age. All information is required.(Required.)

First Name:

Last Name:

Age:

*2.Please provide your contact information below. All information is required.(Required.)

First Name:

Last Name:

Phone Number:

Email:

Relationship To Child: