Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *FirstLastAge *Grade *LayoutParent Full Name *FirstLastParent's Email Address *Parent's Phone Number *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeConsents & Agreements *I give permission for photography and videography to be taken during the event for promotional and archival purposes.I understand that my child will need a laptop and a charger for this program, and that they need to bring it every time.I understand that my child must attend 80% of all sessions or else they risk being removed from the program.I understand that the payment for this program is nonrefundable.Parent's Signature * Clear Signature Registration Fee *Price: $450.00Payment *Submit
