SIGN UP FOR CLASSES

With Sibling Discount

By completing the form, you are agreeing to be charged your first month’s tuition at sign up and continue to pay the monthly tuition on the 1st of every month. Tuition may be paused or cancelled upon request before the 1st of the month. (Schedule can also be viewed at bottom of this page).

The second sibling attends for 50% off. If both siblings are taking 1 class each, tuition is $270/month total.

Student Name (Sibling 1)

First Name

Last Name

Pronouns (Sibling 1)

Student Age (Sibling 1)

Student DOB (Sibling 1)

Month/Day/Year

Student Email (Sibling 1)

Student Phone (Sibling 1)

(###)

###

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Sibling 1 Class(es) Selection

Please specify class DAY, TIME, & INSTRUCTOR

Student Name (Sibling 2)

First Name

Last Name

Student Age (Sibling 2)

Student DOB (Sibling 2)

Pronouns (Sibling 2)

Student Email (Sibling 2)

Student Phone (Sibling 2)

(###)

###

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Sibling 2 Class(es) Selection

Please specify class DAY, TIME, & INSTRUCTOR

Students' Grade / School They Attend (if applicable)

Parent/Guardian(s) Name (If under 18)

You may add more than one, separate by comma please.

Parent/Guardian(s) Email

You may add more than one email, separate by comma please.

Parent/Guardian(s) Phone

You may add more than one, separate by comma please.

(###)

###

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Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Allergies / Medical Concerns?

Emergency Contact Name

Name/Relation

Emergency Contact Phone Number

(###)

###

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How did you hear about us?

Google, Instagram, Facebook, Referred by a Friend (tell us who!)

Card Number

Name on Card

First Name

Last Name

Expiration Date

MM/YY

CVV

Billing Zip Code

Any Notes/Questions?

SIGN UP FOR CLASSES

With Sibling Discount

ADDRESS / CONTACT

SITE LINKS

CONNECT WITH US

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