Hands In
Motion
Class Registration  
                      Please complete a separate registration for any siblings enrolling.

 Child's Name:

 Parent's Name:

 Home Address:
  (w/city)

 Phone                                                                                               

 Parent Email                                                                                                                                                   
Do you belong to a Charter                        If so which one?  

Supervising Teacher 

Teacher Email                                                       Phone:

Child's Grade                                     Gender

Does your child have any physical or learning needs?                
Classes you would like to attend:
Please list the classes you would like to attend in the box below. (include days/times)

        Class                                   Day                              Time
It is the parent's responsibility to know their charter's requirements regarding supervision and in -person class policies.


Please indicate T-Shirt size 
How did you hear about us?
If your child has medical or learning needs that we need to be aware of please let us know below.
I have read and agree with HIM Code of Conduct.
I understand that activities involving gatherings carry health-related risks that can be minimized but not eliminated. By enrolling I assume this responsibility.
Please type 'YES'  in the box.  You may review
our Code of Conduct on the link to the left.
What payment method are you planning for tuition
Are you a new or continuing student?