Parent/Guardian 1

Name*:
Email*:
Phone:

Parent/Guardian 2 (optional)

Name:
Email:
Phone:

Family Address

Street Address*:
City*:
State*:
ZIP Code*:

Session Preference

Preferred Class*: —Please choose an option—Monday Morning 1/5 – 3/16 CLASS IS FULLMonday Afternoon 1/5 - 3/16Tuesday Morning CLASS IS FULL 1/6 – 3/17Thursday Morning CLASS IS FULL 1/8 3/19

Meeting Location: Redding, CA at Clear Creek (exact location shared after registration)

Number of Children*: 1234

Emergency Contact

Same address as family

Name*:
Phone:
Street Address:
City:
State:
ZIP Code:

Allergies / Notes

Consent

I have read and agree to the Waiver & Participation Terms.

View Waiver & Participation Terms

I consent to photo/video use for program communications and publicity. (optional)

Promo Code

Enter Promo Code:

Tuition

Tuition per family: $