Childs Name

Age

Gender Gender Male Female

Level Level Beginner Intermediate Advanced

Name (on credit card)

Credit Card #

Billing address on credit card

Expiration Date

Phone

City

State

Zip Code

Email Address

Parent or Guardian

Contact Email

Contact Phone Number

Select Day Select Day Monday (Beginners) Tuesday Wednesday Thursday Saturday

Select Time Select Time 3:30pm-4:30pm (5-7years old) 4:30pm-5:30pm (8-13 years old) Saturday - 8:00am-9:30am (All Levels 5-13 years old)