ZOOM Online: JUNE Class Enrollment

* PLEASE enter ALL required fields!
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Student Name(s)
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Student Age(s)
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Parent Name (this is also your parental release signature)
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Parent Email (please check spam folder just in case)
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Parent Phone
*

* PLEASE SUBMIT YOUR PAYMENT TO SECURE YOUR CHILD'S SPOT ON THE ZOOM CLASS ROSTER!
* ONCE YOUR ENROLLMENT IS RECEIVED AND PROCESSED, YOU WILL BE SENT A CONFIRMATION.

Credit Card (Visa, Mastercard, Discover or Amex)
Number # Exp. CVC
Billing Zipcode Total
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ZOOM Online: JUNE Class Enrollment

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