Programs

Cheer Clinic
MADE Athletes
Musical Mondays
Adult Computer
Ballet/Jazz

CHEER CLINIC

* Indicates required field

Child Firth & Last Name *

First

Last

Child Date of Birth *

Child Grade (2018-2019) *

My child is a FYC Member for 2017-18 program year. I understand this is a requirement to enrollment. *

Parent/Guardian Full Name *

Parent Phone Number *

Parent Email *

Emergency Contact Name & Phone *

I will pay the $20 program fee by: *

Check to "Firth Youth Center" in mail Check to "Firth Youth Center" dropped off Cash dropped off

Parental Consent Statement *

I have read the flyer and understand the dates/times of the program *

I agree to receiving marketing and promotional materials

Submit

MADE Athlete Performance

* Indicates required field

Child First & Last Name *

First

Last

Date of Birth *

Grade for 2018-2019 *

Parent/Guardian Name & Phone *

First

Last

Parent Email *

Emergency Contact Name/Phone *

My child is a FYC Member for 2017-18 program year. I understand this is a requirement to enrollment. *

Parental Consent Statement *

My child will attend: *

6:30-7:45pm Middle School 7:30-8:45pm High School

I have read the flyer and understand the dates/times of the program. *

I will pay the $25 program fee by: *

I agree to receiving marketing and promotional materials

Submit

MUSICAL MONDAYS
for children with special needs.

* Indicates required field

Child Name *

First

Last

Child DOB *

Grade for 2018-2019 *

Parent Name *

First

Last

Parent Phone *

Parent Email *

Emergency Contact Name/Phone *

First

Last

Parental Consent Statement *

My child is a FYC Member for 2017-18 program year. I understand this is a requirement to enrollment. *

Payment Method *

Name of parent/guardian who will be on-site throughout the class time *

My class preference time is: *

6:00-6:45pm 7:00-7:45pm

Please help us get to know your child better by sharing some information on their needs, likes, allergies, etc. *

I agree to receiving marketing and promotional materials

Submit

Intro to Word, Excel and Powerpoint for Adults

July 11-August 15 6:30-7:30pm

* Indicates required field

Name *

First

Last

Phone Number *

Email *

I AM AN ADULT MEMBER FOR 2017-18 PROGRAM YEAR. I UNDERSTAND THIS IS A REQUIREMENT TO ENROLLMENT. *

Emergency Contact Name/Phone *

Consent to Participate *

I have read the flyer and understand the dates/times of the program *

Yes

I agree to receiving marketing and promotional materials

Submit

Miss Grace's Summer Line-Up!

* Indicates required field

Child Name *

First

Last

Date of Birth *

Grade (2018-2019) *

My child wishes to join: *

**FILLED**Beginners Ballet (ages 4-6) Mondays 4-4:30pm **NO spots available! Beginners Ballet (ages 4-6) Mondays 4:30-5pm Novice Ballet (ages 7-11) Mondays 5-5:45pm Novice Jazz (ages 7-11) Wednesdays 5-5:45pm

Parent/Guardian Name & Phone *

First

Last

Parent/Guardian Email *

MY CHILD IS A FYC MEMBER FOR 2017-18 PROGRAM YEAR. I UNDERSTAND THIS IS A REQUIREMENT TO ENROLLMENT. *

Emergency Contact Name & Phone *

First

Last

Parental Consent *

I will pay the $20 fee by: *

I have read the flyer and understand the dates/times of the program. *

Submit

Special Program Enrollment

CHEER CLINIC

MADE Athlete Performance

MUSICAL MONDAYS for children with special needs.

Intro to Word, Excel and Powerpoint for AdultsJuly 11-August 15 6:30-7:30pm

Miss Grace's Summer Line-Up!

MUSICAL MONDAYS
for children with special needs.

Intro to Word, Excel and Powerpoint for Adults

July 11-August 15 6:30-7:30pm