Student Registration Form Student Registration Form Student Registration Form Student's First Name *Student's Last Name *Age/GradeLocation Of the Class *First ChoiceOption 1Option 2Which Course *First ChoiceOption 1Option 2Level *First ChoiceOption 1Option 2Parent/Legal Guardian Name *Relation to the student *Phone Number *Email Address *Emergency Contact Name *Emergency Contact Number *I agree to the following charge *Registration Fee - $ 10.00 Register
