Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Child's Age *

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DD

YYYY

Class Dates and Times

Tuesdays 9:30-10:15

Tuesdays 11:00-11:45

Class Fee

Cost $270 for the 9 week series. Drop in classes subject to availability. Your spot is not secured until payment is received in full. Venmo @samanthalewis91 or Zelle 9548172890.

Yes I paid. my spot is secured

Consent for Photography/Marketing

Photos/videos may be taken at this event and may be used for marketing purposes. By registering to attend, you acknowledge that images of likeness of you may be used and shared on our social media, website and other platforms. By clicking this box you consent to the above.

I agree to photos/videos being used of my child for social media and marketing purposes

I do not agree to photos/videos being used of my child for social media and marketing purposes