Register for Ten Weeks to Twinkle!

Please complete the short form below. 

Student's Name *
Student's Name
Parent's Name *
Parent's Name
Parent Phone number *
Parent Phone number
Which days be possible for you? *
Please select all days you would be able to attend
Registration Fee *
I understand that my registration is not complete until I submit this form and the $50 registration fee.
If you have any comments or questions, scheduling concertns, or have the name of a current student or sibling who referred you, please enter it below: