PDS-Waiting-List

POLKA DOT SOCKS

Student Waiting List

Before signing up to be added to our WAITING LIST, please take a moment to review the Student Commitment Form. Each student and parent will be asked to sign this form prior to session #1

LAST NAME

City

School

Phone #

Email Address

ADDITIONAL

COMMENTS

First Name

PLEASE NOTE:

This form does NOT guarantee a seat for Season 3 of Polka Dot Socks. By completing this form, you will be added to the waiting list. If seats become available, you will be contacted on Monday, February 12, 2018. Seats will be filled on a first-come, first-served basis. Parents and/or legal guardians MUST accompany their students to the first day of Polka Dot Socks.

Birthdate

Current Age

How did you hear about

Polka Dot Socks?

Please share with us why you would like to be a part of Polka Dot Socks

Are you a graduating high school senior?

Did you review the Student Commitment Form before signing up for the waiting list?

If no, please click here before proceeding

If friend, please list their name here:

Which session are you registering for?

HOBBIES

If other, please list here

Dress Shirt Size

Dress Pants Size