Due to a high public interest in this class, two attempts will be made to contact you the week prior to any course.

If we are not able to confirm your teens' intent to attend the class, your teen will be dropped from the class roster.


There will be a waiting list for this date. 98 people applied for the 12 spaces available.
People on the waiting list will be given priority for the next available class.
Legal Name  
Current Age  
Current School  
Current Grade  
DOB (mm/dd/yyyy format)      
Shirt Size  
Parent / Guardian  
Address  
ZIP  
Daytime Phone Number
(Format ##########)
No hyphens.		  
Regularly Checked Email Address  

OPTIONAL INFORMATION
Health Concerns
(Diabetes, Allergies, etc)
 
Current Medications
(Pain Medications, Insulin, etc)