Enrichment Masters Class Switch Request

Guardian's Full Name (required)

Guardian's Email Address (required)

Guardian's Phone Number (required)

Student's First Name (required)

Student's Last Name (required)

Student's School (required)

Student's Grade (required)

2 PM Class - Current Class

2 PM Class - New class

3 PM Class - Current Class

3 PM Class - New Class

Additional request or enquires