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Registration Form for Monthly Term
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Student Name:
*
Your answer
Age and Grade:
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Your answer
Birthday:
*
Your answer
School Name:
*
Your answer
Parent Name:
*
Your answer
Address:
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Full address with, city, state, and zip code
Your answer
Parents Cell Phone:
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Your answer
Emergency Contact:
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Your answer
Email:
*
Your answer
How did you hear about us?
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Other:
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I have read the SKA registration policies and understand there are no credits or refunds for missed classes & other policies stated on the web site. I give my permission for myself or my child to receive emergency medical treatment. I agree that photos of my child or me may be used to accompany artwork and publications including website.
SKA Students Policy.
PLEASE PRINT NAME/ DATE :
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Registration Fee: $30.00
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