HandsinMotion@surewest.net (916) 412-4331
Registration is not complete until a confirmation e-mail from your supervising teacher has been received. Please bring vouchers to the first day of class.
Thank you, you will receive an email confirmation with further class details.
Registration Spring 2012
Please complete a seperate registration for any siblings enrolling.
Child's Name:
Parent's Name:
Address:
E-Mail: Phone: (H)
(C)
Do you belong to a Charter? Which one?
Supervising Teacher:
Name: Phone:
E-Mail
Child's Grade
Classes you would like to register for:
Class Day Time
Class Day Time
Class Day Time
Class Day Time
Class Day Time
Class Day Time
Class Day Time
Class Day Time
If independent please put N/A in the below boxes