Sign Up Class Sign Up Form Child's Name * First Name Last Name Child's Age * 11 12 13 14 15 16 17 Parent/Guardian's Name * First Name Last Name Email * Phone * (###) ### #### Emergency Contact * First Name Last Name Emergency Email * Emergency Phone * (###) ### #### Class Option * Tuesday Class 4-6pm Thursday Class 4-6pm Group Class Afternoon Private Thank you for signing up! You will receive a confirmation email within 24 hours.