Book a Class

Name

First Name

Last Name

Phone

In case we need to reach you during class

(###)

###

####

Caregiver

(if applicable)

Child's name

Siblings separated by a comma (if applicable)

Type of Class

Date of Class

Allergies

Please list any allergies (if applicable)

Newsletter

Yes

Studio Guidelines

Please review the studio guidelines (with your child) and check off when read. Important information regarding cancelling classes.

I have read and agree

Registration is confirmed upon receiving full payment by etransfer to kathleen@kathleenmurphy.ca