Student Registration

Please complete one form per student and per class.

Student & Contact Information

Student First Name *

Student Last Name *

Primary Contact Name *

Relationship to Student

Email Address *

Preferred Contact Method *

Text Phone Call Email

Mobile Phone *

Example: 123-456-7890. Dashes are optional.

Alternate Phone (optional)

Example: 123-456-7890. Dashes are optional.

Address

Street Address *

Apt / Suite (optional)

City *

State *

ZIP *

Example: 75844 or 75844-1234.

Birthday

Birthday Month *

Birthday Day *

Birth Year

Year helps us match students with age-appropriate classes. (Format: 4 digits) If left empty, we will assume you are over the age of 18.

Class Details

Class Name *

Class Date / Session *

Health & Notes

Allergies or Important Medical Information *

Please list any food, medication, or environmental allergies, special accommodations, or anything we should know to keep this student safe. If none, please write “None.”

Questions or Additional Notes (optional)

* Required fields