What Session are you applying for? *

Summer 2024

Spring 2024

Student's Name *

First Name

Last Name

Student's Birthdate *

MM

DD

YYYY

Parent/Guardian's Name (if applying for a child)

Complete the question below if this is for a children's class.

First Name

Last Name

Parent/Guardian's Birthdate (if applying for a child)

Complete the question below if this is for a children's class.

MM

DD

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your annual income? *

$0-$15,000

$16,000-$25,000

$26,000-$35,000

$36,000-$45,000

$46,000-$55,000

above $56,000

Have you applied for class tuition assistance before? *

Yes

No

Not sure