Club Connections

Club Connections Waitlist Form


Would you like to be contacted in addition to your parents?
If yes, please provide your email and phone number below
Special Diet:
If "other" please indicate what that is:

Answering the following questions below will help our Club Connections Team create lessons that can meet a diverse group of needs.

Any difficulty with sight or hearing?
If yes, please indicate what those are:
Club 21 Member?
Does Club 21 have permission to release photos of your teen:
by clicking "yes" you give your consent