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News
Contact Us
Register Now!
Menu
Home
Open Times
Amenities
About Us
FAQs
Programs
Testimonials
Our Staff
Employment
Enrollments
Registration
Suspension
Cancellation
Blog
News
Contact Us
Register Now!
Registration
Registration
Today's Date
DD slash MM slash YYYY
Parent / Guardian Name
(Required)
First
Last
Address
Home Number
(Required)
Work Number
(Required)
Mobile Number
(Required)
Email
(Required)
Where did you hear about us?
Child Details
How many children would you like to register?
1
2
3
4
5
Child's Name
First
Last
Child's Gender
Male
Female
Date of Birth
DD slash MM slash YYYY
What school or preschool does your child attend?
Has your child had lessons previously?
Yes
No
If so, where?
Why did you leave?
Child #2
Second Child's Name
First
Last
Child's Gender
Male
Female
Date of Birth
DD slash MM slash YYYY
What school or preschool does your child attend?
Has your child had lessons previously?
Yes
No
If so, where?
Why did you leave?
Child #3
Third Child's Name
First
Last
Child's Gender
Male
Female
Date of Birth
DD slash MM slash YYYY
What school or preschool does your child attend?
Has your child had lessons previously?
Yes
No
If so, where?
Why did you leave?
Child #4
Fourth Child's Name
First
Last
Child's Gender
Male
Female
Date of Birth
DD slash MM slash YYYY
What school or preschool does your child attend?
Has your child had lessons previously?
Yes
No
If so, where?
Why did you leave?
Child #5
Fifth Child's Name
First
Last
Child's Gender
Male
Female
Date of Birth
DD slash MM slash YYYY
What school or preschool does your child attend?
Has your child had lessons previously?
Yes
No
If so, where?
Why did you leave?
Medical / Emergency Contact
Are there any learning difficulties or medical conditions we should know about?
Doctor's Name
Doctor's Phone Number
Emergency Contact Number
Relationship to Student
Emergency Contact Numbers
Privacy Agreement
I have read the Privacy Agreement
(Required)
Yes
No