Complete the form below to signup

We have reached the limit for the group but please complete the form still if you are interested. We will start the club and have a better feel for the headcount and more availability soon.

Student Name

First Name

Last Name

Parent Name

First Name

Last Name

Parent Phone

(###)

###

####

Parent Email

Additional Notes

Is there anything else you would like for us to know?

Pickup

I understand that I will come inside to the office for pickup at 4pm.

Pickup Confirmation