Class Registration: Spring 2017

I am enrolling more than one student. *
Student Name *
Student Name
Address *
Address
Date of Birth *
Date of Birth
Which Class *
Second Student Registration (If Applicable)
Second Student Name (If Applicable)
Second Student Name (If Applicable)
Date of Birth (Second Student if Applicable)
Date of Birth (Second Student if Applicable)
Which class? *
Third Student Registration (If Applicable)
Third Student Name (If Applicable)
Third Student Name (If Applicable)
Date of Birth (Third Student)
Date of Birth (Third Student)
Which Class? *
Emergency Contact
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Parent/Guardian name *
Parent/Guardian name
Parent or Guardian Phone *
Parent or Guardian Phone
Second Emergency Contact Person *
Second Emergency Contact Person
Emergency Contact Phone *
Emergency Contact Phone
Terms of Agreement *