Please complete the registration form below.

Parent/Guardian Name

First Name

Last Name

Child's Name

First Name

Last Name

Please include your child's email (if they have one)

Phone

(###)

###

####

Please include you child's email if they have one (group materials will be emailed)

Child's Age

I would like to receive reminders by text.

Comments: Please include any additional children below (name & age).

“The real glow up is never external.”

— Unknown