KEY TO CHANGE RETURNING STUDENT APPLICATION

STUDENT INFORMATION

Student First Name

Student Last Name

Parent/Guardian Name:

Household Mailing Street (if you have moved)

Household Mailing City (if you have moved)

Household Mailing State (if you have moved)

Household Mailing ZIP/Postal Code (if you have moved)

Household Preferred Phone

Household Phone Number

Parent/Guardian Preferred Email

Email address (please enter the email used as of first registration)

Current Grade

School

Other School

Confirmed Lesson day/time: