Student Registration Form

Student’s Contact Details

Our primary channel of communication is e-mail. Your telephone number is required for emergency contact. Unexpected events may occur which directly affect your scheduled lesson. In cases where e-mail communications may not reach you in time, we would like to be able to call or text you to keep you informed.

Parent Information

Parents of students that are minors should complete the section below:

Contact Details of the Father (or Guardian):

Contact Details of the Mother (or Guardian):

Preferred Lesson Times

Please check all that apply:

1 + 3 = ?