Registration Form and Payment Options
Please read through
policies before you register. Returning students do not need to fill out registration form again. You just need to make payment and email us at
lascauxacademy@gmail.com for class / camp / sessions you'd like to enroll (and any new contact information, if any). Thank you.
It only takes two steps to make reservation: Step 1) Please make payment (reservation is based on payment received) Step 2) Please email us registration information below (you may copy and paste questions on the email, red fonts are must answered questions, thank you):
1. Today's date (MM/DD/YY): 2. How did you learn about us?
3. Student's name 1 (first name / last name)
4. School attending and grade (if applicable)
5. Student's name 2 (if applicable)
6. School attending and grade (if applicable)
7. Mothers' name (first name / last name)
8. Father's name
9. Class or program enrolled in (type of class and session / camp and weeks)
10. Starting date (MM/DD/YY)
11. Join our annual membership ($50 per year)?
12. Phone (daytime):
13. Phone (evening):
14. Email address:
15. Please retype your email address:
16. Billing address (including city and zip code)
17. Emergency contact's name and email address:
18. Additional message (please specify if any student has any allergy or special condition):
By enrolling in our class, you agree that you have read through all of our terms and policies and agree to abide to them.
|
Please feel free to contact us for any question or technical issue.
