Parent's Name *

Email *

Phone *

Child’s Name *

Child’s Date of Birth *

Child's Age Group *

Ages 2-4

Ages 5-8

Ages 9-11

12+

Please note that by submitting this information we will schedule your $10 lesson on June 16th. The time will depend on the age of the student and the number enrolled, but will be between 5:30 & 6:45pm. You can email [email protected] or text/call 517-514-5176 for more information or questions. We will email a confirmation of the class registration and text reminder!