Please fill out the form below completely:
Name of Program (Beginners, Beginners II, Intermediates, etc)
PELHAM ELEMENTARY, PELHAM NH PIKE SCHOOL, ANDOVER MA BANBURY CROSS CHILDREN BOOKSTORE, WENHAM MA
Day Time Child's Name Age Grade
Second Child's Name
Age Grade
Guardian's Name
Street Address
City/Town Sate Zip Code
Email Address
Phone Number
Emergency Contact Name
Emergency Contact Phone Number
Allergies
* Addtional siblings receive a 10% discount.