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Class Registration Application
Registration Application
NOTE:  If you have more than 10 registrants, please contact Little Strokes Academy at (608)-819-0134 or send us a message, so that we can make certain accomodations to meet your expectation.
*Fields are required to be filled in.
*Parent/Guardian First Name:
*Parent/Guardian Last Name:
*Street Address:
*State:
*City (must select a state first)
*Zip Code:
*Telephone #:
Alternative Phone #:
Email Address: Examples: myname@yahoo.com.
Your email will be used by our staff to notify you of any changes and new events.
Additional Information
Comments / Notes