Class Information

Program: Virtual Reality

Dates: 02-09-2024 - 05-17-2024
Class schedule:
Friday 3:30 PM - 4:30 PM (3rd -4th)
4:30 PM - 5:30 PM (3rd -4th)
Cost: $9600

School Information

School: Bright Star - Valor Academy Elementary

Address: 8755 Woodman Ave, Arleta, CA
Phone: (714) 955-2059

Student Information

First Name *

Last Name*

Grade *

Gender *

Classroom # and/or teacher name

Is your child enrolled in aftercare?*
Yes No

Specify any special needs if applicable

Parent Information

First Name*

Last Name*

Address 1*

Address 2

City*

State/Province*

Zip/Postal Code*

Phone Number*

Email Address*

Other Authorized Guardian

First Name

Last Name

Relationship

Phone

Emergency Contact

Same as parent information

First Name*

Last Name*

Phone*

Payment Information

Same as parent information

First Name*

Last Name*

Address 1*

Address 2

City*

State/Province*

Zip/Postal Code*

Card Information

Card Number*

Expiration Date*

CCV*

Important Stuff

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I have read and agree to the Waiver and Release.

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