Registration Form (Kids, Tweens and Teens)
If you would like to sign up for more than one class, please fill this form out once per class.
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Parent Name (First and Last) *
Parent Email *
Parent Phone Number *
Child's Name *
Child's Age *
Does your child have any special needs that you would like us to be aware of? *
If yes, please comment.  If you would prefer to email us about your child, please send an email to tlackner@rogers.com
Select the class you are signing up for *
Please check all boxes below *
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