Parent / guardian first name *

Parent / guardian last name *

Phone *

Email *

Student first and last name *

Student age and grade *

November 17, 2026 • 6:00–7:30 PM • STĀ Solutions Med Spa. One student per registration. Limited to 10 students. Registration is confirmed after the $20 supply fee and registration information are received. Waitlist requests do not reserve a place. Please do not send payment for a waitlist request.