Heartlight Spring Registration Form
After completing this form you will be redirected to a payment link. Your child is not registered until the payment has been received.

Please Note:
- If you are signing up more than one child you will need to register and pay for them separately using the unique payment links provided.
- Please let your child's teacher know they will be attending Heartlight. This helps both the school and our Instructors ensure your child goes to the right place after school is out.
- Registrations can take up to 24 hours to process. If you are paying on the day class starts, your child's name may not be on the roster submitted to the school. For same day registrations please contact your child's school and/or after-school care provider to let them know your child is enrolled so they allow your child to participate in Heartlight class.

Thank you so much!
Natasha Thompson, Director
natashaheartlight@gmail.com
619-356-8013


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Email *
Child's School
 *
Child's FIRST Name
 *
Child's LAST Name *
Child's Grade
 *
Child's Classroom Number. Please list the room # and not the teacher's name.
 *
Where does your child go after Heartlight class? (If your child's program is not listed please write it in under "Other")
 *
Parent/Guardian Phone Number *
Please add any physical restrictions, special needs or other helpful information we should know about your child here (optional)
Payment Acknowledgement:
After completing this registration form you will be re-directed to the payment page. Your student is not enrolled until payment has been received. Students who have not paid may not be able to participate in class and their name may not appear on the roster.
 *
Policy Acknowledgement:
Students must not be left unattended on campus. Please be sure to pick up your child on time, immediately after class ends. Students are expected to follow school and Heartlight rules during class.
 *
Parent/Guardian Name (First & Last)
 *
Parent/Guardian Email
 *
Registration Fee *
Blue Heartlight T-Shirt (optional)
Instructors will give your child the correct size if the shirt ordered does not fit well.(Shirts will not be handed out until after the 1st class.)
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