Registration Form for the Winter/Spring Semester 2019. Please complete 1 form per student.
Parent Name *
Parent Name
Charter School or Financially Responsible Party
Length of Registration
Choose entire semester or months desired
Choose lessons and classes below; we will email a quote to you based on your selections
All lessons and classes are held in Wrightwood unless indicated otherwise.
Private Lessons, 30 minutes - 19 lessons/5 months, January through May
Choose the lessons that are applicable To request 45 or 60 minute lessons, please indicate in the Note to the Administrator field at the end of this form.
Classes, 1-hour - 16 classes/4 months - February through May
Choose the classes that are applicable. The per class rate is if you purchase less than 4 classes in a month.
Classes, 2-hour - 16 classes/4 months - February through May
Choose classes that are applicable
Classes with Chad Keel at Eleventh Elevation
Schedule: https://elevenelevationbjj.com/schedule/