MIX 2020 Thank you for signing up! REMEMBER: Your student's spot is NOT reserved until your deposit is paid. Deposits are non-refundable and students may not use money in their account for deposits.

Student Name

Grade

6 7 8

Parent(s)

This address will receive a confirmation email

Phone

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.