10AMMightyMites

10AM WEDNESDAY MIGHTY MITES

SPACES EXTREMELY LIMITED! ONLINE REGISTRATION ENDS WHEN THE CLASS FILLS OR BY OCTOBER 10TH 2013

TIME LEFT:
7 hours 57 minutes 1 second

**IMPORTANT! YOU WILL RECEIVE A CONFIRMATION EMAIL AFTER THE PROCESS IS COMPLETE. IF YOU DO NOT RECEIVE AN EMAIL, YOU DID NOT SUBMIT THE FORM CORRECTLY.**

Child's Name (First, Last): (required)

Parent/Account Holder's Name (First, Last): (required)

Your Email: (required)

Account you wish to use for payment:

Type of Account:
Name on Account:
Last 4 Digits of Account/Card Number:
**Name & Last 4 Digits not needed if "Current Account on File" is chosen.**

I UNDERSTAND (required):

1. All memberships require a minimum of two full paying months and 31 days written notice to cancel.

2. By checking the following box I understand and agree to the Membership Policies and have read the FAQ regarding our rules, payments, cancellations, holds, etc.of

3. I agree and confirm that I am 18 years or older and if I am not the student who this notice is concerning, I confirm that I am the parent or legal guardian of the above student.

I UNDERSTAND AND AGREE TO ALL OF THE ABOVE:

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