Registration

Student’s First Name *

Student’s Last Name *

Age *

Gender *

Grade *Pre-kPre-kK1st2nd3rd4th5th6th7th8th9th10th11th12th

School *

Allergies

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian Email Address *

Parent/Guardian Cell Phone number *

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Cell Phone number

Additional information or questions

Programs *Choose your programThe leadership Program - 50$Recreational Program - 40$The French Language Institute - 30$Teaching Consulting Program - 20$

Amount

$

Promotional release : performers is aspire appears in professional photos video and audio

Volunteer acknowledgement : i understand that this production required volunteer commitments

Health acknowledgement : i agree that mu child and family will adhere to any health

Credit / Debit Card *

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