Wednesday Night Registration

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Name and Grade of Student *

Name and Grade of Student

Parent Name *

Address 1 *

City *

Zip / Post Code *

Email *

Phone *

Does your child have any allergies that we need to be aware of?

Please list the people other than yourself who would be allowed to pick your child and their phone numbers

Please do not include my children in any photographic media