Participant Name *

Email *

Emergency Contact Name *

Must be parent or guardian if participant is under 18.

Emergency Contact Phone *

Emergency Contact Email *

Allergies / Medical Notes *

Please let us know if the participant has any allergies or medical conditions that may impact their ability to fully participate in classes. Instructors are happy to provide accommodations during class.

How are you paying?

Year in full (3% discount)

Monthly

Applying for scholarship

We accept cash, check, or online payment through Paypal https://www.paypal.com/ncp/payment/2NS2SPT9AHGT2

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