Class Registration

Thank you for your interest in Steps of Grace, we are so glad you’re here! To register for classes today, please fill out the following form, download and sign our Participation Waiver and email a copy to stepsofgrace@aol.com!

Participation Waiver

Name *

Name

First Name

Last Name

Birthday *

Birthday

MM

DD

YYYY

Age *

Parents *

Parents

First Name

Last Name

t-shirt size *

Phone *

Phone

(###)

###

####

Email *

Mailing Address *

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

Emergency Contact

First Name

Last Name

Emergency Contact Phone *

Emergency Contact Phone

(###)

###

####

Diagnosis/important medical information/special considerations (mobility, balance, etc.) *

History of Seizures *

Yes

No

Allergies *

If none, please put N/A

Please indicate the class for which you are registering *

*Please note that if you choose to pay via Paypal, processing fees have been added!

Have any questions or concerns? Contact us today!

Contact steps of grace

Register

Class Registration