Please enable JavaScript in your browser to complete this form.Session Registration *Session 1 (Ages 9-11)Session 2 (Ages 12-14)Parent/Guardian Name *FirstLastChild's Name *FirstLastBirthday: Month / Day/ YearGENDERFemaleMalePRONOUNSshe/her/hershe/him/histhey/them/theirsParent Email *Child Email (if applicable)Cell PhoneHome PhoneEmergency Contact Phone NumberAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBriefly tell us about your child.What would you like your child to gain from this class?Registration Payment *Price: $ 160.00Payment for 1 child for 4 sessionsDiscount for Multiple Children2 - $ 155.003 - $ 150.00Total$ 0.00Pay Now