Lindenwood Registration 12 Weeks $180Wednesdays 9:00a.m. to 11:00a.m. (during morning class times)Class Dates:September 6th, 13th, 20th, 27thOctober 4th, 11th, 18th, 25thNovember 1st, 8th, 15th, 22nd Parent/Guardian Contact Parent/Guardian Cell Phone Parent/Guardian email Parent/Guardian Address Emergency Contact Name Cell Phone Student Information Student's Name 1 Student's Age Student's Grade Allergies Student's Name 2 Student's Age Student's Grade Allergies Address Is there anything you would like our teachers to know about your child? (IE Health, learning, absences, allergies, special interests) Photo Release I give permission of photos of my child to be used for website and gallery purposes Yes No Once you click on submit you will be forwarded to Square of payment Submit