Before you register online, you will need to fill out the following form and submit.  We will then contact you via email with your Household ID Number and login instructions.


Household ID Information Form

Please complete the following information, then click SUBMIT.

**Please NOTE:  Date of Birth is mandatory in order to register for a class.  
Name of Head of Household:
First Name
Last Name
Date of Birth**:   Male        Female
Resident              Non-resident      
Name of Head of Household #2;
First Name
Last Name
Date of Birth**:   Male        Female
Address:
City:
Zip:
 HomePhone: - example 414-555-1212
 WorkPhone: -
 CellPhone: -
Email
Email
(confirm)
   
Name of Family Member #1:
First Name
Last Name
Date of Birth**:   Male        Female
School  Grade 
     
Name of Family Member #2:
First Name
Last Name
Date of Birth**:   Male        Female
School  Grade 
     
Name of Family Member #3:
First Name
Last Name
Date of Birth**:   Male        Female
School  Grade 
       
Name of Family Member #4:
First Name
Last Name
Date of Birth**:   Male        Female
School  Grade 
     
 
                       
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