Class Information Parent & Tot Class Fridays, 10:00 a.m. – 11:15 a.m. September 11, 2026 – May 14, 2027 Cost: $900 Child's Information Child's Name - required Child's Date of Birth - required Child's Age as of September 18, 2025: Years - required Months - required Gender - required —Please choose an option—MaleFemale Parent/Guardian Information Parent/Guardian #1 - required Parent/Guardian #2 - optional Street Address - required City/State - required Zip - required Cell/Home Phone # - required E-mail Address - required Releases & Policies Please check the corresponding boxes below if you DO NOT authorize the following: Photo Release Check here if you DO NOT authorize use of your child's photo in publicity materials for NCNS. Opt-Out of Photo Release Social Media (i.e. NCNS website, NCNS Facebook and NCNS Instagram) Check here if you DO NOT authorize use of your child's photo for publicity purposes on social media websites (no names will be used). Opt-Out of Social Media Video Release Check here if you DO NOT authorize videotaping of your child for training classes (no names will be used). Opt-Out of Video Release Address & Phone Release Check here if you DO NOT authorize distribution of your address and phone number for a Parent & Tot student class list. Opt-Out of Directory E-mail Release Check here if you DO NOT authorize use of your email address for school communication. Opt-Out of Emails * Parent & Tot students will be required to provide NCNS with a copy of their vaccination records prior to the first day of class. Parent or Guardian's Signature (Use mouse or finger) - required Date - required
