* Parent’s Name

* Phone Number

* Mailing Address

* Email

* 1st Student’s Name/Gender/Age/Grade

* Class for 1st Student (select) June 11th - July 2nd ~ Friday 11:00-12:00 July 6th - July 27th ~ Tuesday 4:00-5:00 August 3rd - August 24th ~ Tuesday 4:30-5:30

2nd Student’s Name/Gender/Age/Grade (if applicable)

Class for 2nd Student (select) June 11th - July 2nd ~ Friday 11:00-12:00 July 6th - July 27th ~ Tuesday 4:00-5:00 August 3rd - August 24th ~ Tuesday 4:30-5:30

3rd Student’s Name/Gender/Age/Grade (if applicable)

Class for 3rd Student (select) June 11th - July 2nd ~ Friday 11:00-12:00 July 6th - July 27th ~ Tuesday 4:00-5:00 August 3rd - August 24th ~ Tuesday 4:30-5:30

4th Student’s Name/Gender/Age/Grade (if applicable)

Class for 4th Student (select) June 11th - July 2nd ~ Friday 11:00-12:00 July 6th - July 27th ~ Tuesday 4:00-5:00 August 3rd - August 24th ~ Tuesday 4:30-5:30

What’s the most important thing you want your child to learn from Southern Grace?

* Verify