Course Registration Form

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Please complete the registration form to continue.

Segment 1 Input Form

Virtual Class

Nov 9 - Dec 9

Mondays, Tuesdays, Wednesdays

4:00 pm - 6:00 pm

---- You must be 14 years 8 months to register for a Segment 1 class ----

Student Section

Student Phone Type *

Parent/Guardian Section

---- Please complete the section ONLY if the student is under the age of 18 ----
Phone Type
---- Before submitting, please double check to make sure that all of the information is correct -----