Individual Registration

Please enter information in below to process registration for Su21d - Intermediate Debate Program.

Your First Name *

Your Last Name *

Child's First Name *

Child's Last Name *

Child's School *

Child's Grade *

Phone *

Email *

Full Day Class

Full Day Class: Select this box to register for a full day program, which includes the morning class as well as the Strategy Board Games class from 12:30 to 3:30pm. (+$250)

Amount

Payment Method *

Paypal Offline Payment

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*