Q1-2024

Dates; September 9,- October 16, 2024

September 9,10,16,17,18,23,24,25,30 October 1,7,8,9,15,16

Mondays, Tuesdays, Wednesdays

3:00pm-5:00pm

Student's Name *

Birth Date *

MM-DD-YYYY

Parent Email *

Parent's Phone Number *

Card Number *

Cardholder First Name *

Cardholder Last Name *

Security Code *

Billing Address *

City *

Zip *

State *

Country *