Program

Elementary (Ages 6-10, Sundays from 10am - 1pm) Intermediate (ages 10-16, Sundays from 2pm - 5pm)

Elementary

Intermediate

Student's name

First Name

Last Name

Student's pronouns

She/her, he/him, they/them, other

Student's birthday

YYYY

Caregiver's name

First Name

Last Name

Phone

(###)

###

####

Any other information

If we need to know any other details - accessibility requirements, allergies, etc.