Adult Name *

First Name

Last Name

Student Name *

First Name

Last Name

Phone *

(###)

###

####

Sessions *

Rising K: Session 1 (August 19th - 23rd | 9am - 11am)

Rising K: Session 2 (August 26th - 30th | 9am - 11am)

Rising 1st: Session 1 (August 19th - 23rd | 12pm - 2pm)

Rising 1st: Session 2 (August 26th - 30th | 12pm - 2pm)