Zumba & Mindfulness Cub Club Request

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Please submit your child's request by Friday, March 12th. Acceptance email with pickup and payment information will be sent Friday, March 19th. Space is very limited, students signing up for option 1-3 will have priority with the intent of keeping the groups the same. Thank you so much!!!

Child's first and last name *

Grade Level *

1st

2nd

3rd

4th

5th

Homeroom teacher and room number *

CLASS OPTIONS (classes run 4th quarter March 29-May 24) *

OPTION 1: ZUMBA & MINDFULNESS- Mondays & Fridays 2:30-4:30pm (32 CLASSES, $320)

OPTION 2: ZUMBA & MINDFULNESS- Mondays 2:30-4:30pm (18 classes, $180)

OPTION 3: ZUMBA & MINDFULNESS- Fridays 2:30-4:30pm (14 classes, $140)

Option 4: ZUMBA- Mondays & Fridays 2:30-3:30pm (16 classes, $160)

Option 5: Mindfulness- Mondays & Fridays 3:35-4:30pm (16 classes, $160)

Option 6: Zumba- Mondays 2:30-3:30pm (9 classes, $90)

Option 7: Mindfulness- Mondays 3:35-4:30pm (9 classes, $90)

Option 8: Zumba- Fridays 2:30-3:30pm (7 classes, $70)

Option 9: Mindfulness- Fridays 3:35-4:30pm (7 classes, $70)

Guardian Name *

Guardian E-mail *

Emergency Contact Phone Number *

Child allergies/health concerns

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