Register

Learn about our Referral Discount program and reduced sibling rates

Fall 2023 Registration Form

* Indicates required field

Pupil's Name *

First

Last

Pupil's Age *

Parent's Name *

First

Last

Mobile Phone Number *

Other Phone Number *

Preferred Communication Method *

Email Text Phone Other

Email *

Comment *

Referred by *

Choose a preferred class time *

Tuesdays at 11 a.m. Wednesdays at 1 p.m. Thursdays at 1 p.m. Fridays at 1 p.m.

Is a sibling already registered? *

Yes

Payment Information

Payment is accepted for full 12-week tuition ($240) or monthly payments of $80 for each of 3 months, due on 15th of the month.
(See Referral and Sibling Discounts if more than 1 child is registered per family)
Payment methods include

Check (payable to Billie Bell)
PayPal (bellbilliejoyce@gmail.com)
Venmo (bellbilliejoyce@gmail.com)
Zelle (859-229-5119)

Submit

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Fall 2023 Registration Form