Before completing the registration form below, 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
ST
School
Phone #
Email Address
ADDITIONAL
COMMENTS
First Name
PLEASE NOTE:
Students must commit to attending all 10 Polka Dot Socks sessions and commit to attending for the entire 2-hour session. Photography and videography will be taken during each session. Your registration for Polka Dot Socks provides consent for your image to be used in all marketing and media materials produced by I Am A Gentleman, Inc. Parents or legal guardians must accompany their students to the Pre-Season Orientation on Saturday, September 05, 2020 and both must be prepared to sign a copy of the Student Commitment Form.
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
What grade are you currently in?
Did you review the Student Commitment Form before completing your registration?