Breathe & Learn at the Beach!

New Student Registration & Emergency Contact Form

Child's Name *
Child's Name
Please type the date or date(s) you plan to attend class with us:)
Parent Name *
Parent Name
Cell Phone *
Cell Phone
Name and Cell Phone.
I understand I must sign a waiver at drop-off. *
I understand drop-off is from 8:50 - 9:00. *
We meet at the clock, where Hermosa Ave & Pier Ave intersect (near the restaurant Rebel Republic). If you're running late, please meet us on the beach just south of the pier.
I understand pick-up is at 10:05.
Meet us at the same location as drop-off.
What is your total payment? *
Class packs may be split with friends and family.
How will you pay? *