First Parent's Name *

First Name

Last Name

First Parent's Cell *

(###)

###

####

Second Parent's Name

First Name

Last Name

Second Parent's Cell

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First Student's Name *

First Name

Last Name

First Student's Birthday *

MM

DD

YYYY

First Student Wizard of Oz (September 6th - November 16th) *

Please select yes if you would like your student to attend classes on Fridays (5:30-7:30 PM)

Yes

No

Second Student's Birthday

MM

DD

YYYY

Second Student Wizard of Oz (September 6th - November 16th)

Please select yes if you would like your student to attend classes on Fridays (5:30-7:30 PM)

Yes

No

Third Student's Name

First Name

Last Name

Third Student's Birthday

MM

DD

YYYY

Third Student Wizard of Oz (September 6th - November 16th)

Please select yes if you would like your student to attend classes on Fridays (5:30-7:30 PM)

Yes

No

Agreement *

By checking this box you adhere to all studio polices and guidelines.

I agree.