All Students are required to sign up for Autopay; your tuition payments will automatically be withdrawn and we will schedule your child(ren) into their classes each month. You'll receive a 20% discount of $23 per class for a max of 4 classes in your first month. After your first month, the rate will go up to $115 per month (siblings receive a 10% discount). You may cancel your Autopay by filling out our Cancel Autopay Form before the 25th if you decide to not return.*
Please select your desired recurring class day & time:*
Month you would like to start:*
If the month has already started and you'd like to begin classes now, we will pro-rate your New Student Discount at $23 per class for the remainder of the month. For example, if you chose every Tue 3:15 and there are 2 Tuesdays left this month, you'll be charged $46 this month and $115 for next month. Please note: our office hours are Tue - Fri, so if you're submitting this on Friday evening for a weekend class, we cannot process your registration until Tuesday.*
You are not considered registered until you receive a confirmation email containing your schedule. We cannot register you until we receive your signed Enrollment Agreement, Autopay Form and this submission.*
Main Parent/Guardian First & Last Name:*
Cell Phone Number (you'll receive a text reminder 24 hours before each class)*
Student's First & Last Name*
Date of Student's Birth:*
2nd Sibling Name, Age & DOB (if registering):
3rd Sibling Name, Age & DOB (if registering):
Do any of the students being registered have any physical or psychological considerations we should know about? If yes, please explain. If not, write No.*
Emergency Contact Name and phone number (optional, other than yourself):
