Waitlist Form

Parent Information

First Name

Last Name

Email

Phone

Address Line 1

City

State

Zip Code

How did you hear about us?

Are you a previous customer?

Number of children to waitlist

You must be the parent or legal guardian of the child. Any other registrations will be void.

Student Information

First Name

Last Name

Grade Level

Choose Classes for Waitlist

TUES (3:20PM-5:20PM)TUES (5:30PM-7:30PM)WED (2:15PM-4:15PM)WED (4:30PM-6:30PM)THUR (4:30PM-6:30PM)FRI (4:30PM-6:30PM)Please mark all possible classes. We will email you if something opens up.

Other Notes

Student 2 Information

First Name

Last Name

Grade Level

Choose Classes for Waitlist

TUES (3:20PM-5:20PM)TUES (5:30PM-7:30PM)WED (2:15PM-4:15PM)WED (4:30PM-6:30PM)THUR (4:30PM-6:30PM)FRI (4:30PM-6:30PM)Please mark all possible classes. We will email you if something opens up.

Other Notes

Student 3 Information

First Name

Last Name

Grade Level

Choose Classes for Waitlist

TUES (3:20PM-5:20PM)TUES (5:30PM-7:30PM)WED (2:15PM-4:15PM)WED (4:30PM-6:30PM)THUR (4:30PM-6:30PM)FRI (4:30PM-6:30PM)Please mark all possible classes. We will email you if something opens up.

Other Notes

Form secured by FormAssembly

Contact Information