Parent/Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Participants Name *

First Name

Last Name

Age of participating Child *

5

6

7

8

Session your child will be attending *

Fall Session 2 (October 3 10, 17, 24)-Deadline September 26

Fall Session 3 (October 31, November 14, November 21, December 5)-Deadline October 24

Spring Session 1 (March 6, March 13, March 20, March 27)-Deadline February 27

Spring Session 2 (April 3, April 10, April 17, April 24)-Deadline March 27

Spring Session 3 TBD

Payment Method

(An invoice will be sent to your email)

Cash

Check (made payable to FIT4U LLC)

Zelle (QR code provided)

Credit Card ($45/session due to fees