Class Information

Program: Zumba® Kids

Course: course 1 K- 5th

Dates: 04-09-2024 - 05-21-2024
Class schedule:
Tuesday 3:15 PM - 4:15 PM (K -5th)
Cost: $140

School Information

School: Rainbow Christian School

Address: 22940 Old Dixie Hwy, Goulds, FL
Phone: (305) 258-0194

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

I have read and agree to the Policies.
I have read and agree to the Waiver and Release.

Please do not close your browser or click the back button.