EmailMe Form - Full year 2021-2022 TAA Registration

Parent Name *

First Last

Parent Phone Number *

### - ### - ####

Your city *

Parent Email *

Student Name *

First Last

Student height *

Student weight

Optional, but helpful!

Date of Birth *

MM / DD / YYYY

Student age as of September 23, 2021 *

How will you be paying for this child? *

• If you choose mail: The address will be emailed to you upon submission of this form.
• If you choose monthly autopay: The Business Manager will contact you via email soon to arrange set-up.
• If you choose online: You will be taken to a payment page upon submission of this form.

Payments must be arranged PRIOR to the first class.

If other, please specify *

Will you also be registering any siblings? *

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