Registration - Memorial Lutheran PhoneThis field is for validation purposes and should be left unchanged. Fall 2026 Semester Enrollment Preschool & PreK: 3 yrs & up Elementary: K - 5th Classes: Sept 14th – Dec 11th Cost: $385 –per program Programs Available: Soccer -- Mondays 2:50-3:25pm … Presch / PreK 3:35-4:25pm … K- 5th Game Fundamentals & Teamwork. Dribble, Pass, Shoot Goals Improve Speed, Coordination & Endurance May Trophies Trophies & Award Ceremony Included in Tuition Cheerleading -- Wednesdays 2:50-3:25pm … Presch / PreK 3:35-4:25pm … K- 5th Use Pom-Poms. Learn Choreographed Cheers Cheerleading is Fun & Builds Confidence May Recital Recital Costume & Expenses Included in tuition Martial Arts -- Fridays 2:50-3:25pm … Presch / PreK 3:35-4:25pm … K- 5th Punches, Kicks, Blocks, Stances. Discipline & Respect Self Defense a Skill for Life May Rank Testing Color Belt & Rank Testing Expenses Included in tuition Student Information CHILD Name & Info (not parent)Child's First Name:*Child's Last Name:*Child's Date of Birth*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Grade Presch / PreK Kinder 1st 2nd 3rd 4th 5th Child's Gender* Boy Girl Parent ContactParent's First Name*Parent's Last Name*Parent's Cell Phone:*Additional Cell Phone (optional):Email* Enter Email Confirm Email Additional Email (optional) Enter Email Confirm Email Parent Address* Street Address Apt/suite/unit/room # City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Memorial LutheranSelect Program(s):* Soccer Cheerleading Martial Arts Total Credit Card Parental ConsentI, the parent or legal guardian of the above named child, release all liabilities both professionally and medically from Enrichment Services Inc., their owners and teachers, and the school/center where the classes will be conducted. I understand that any physical activity involving motion creates the possibility of serious injury, and I agree to release all rights and claims. I hereby assign to Enrichment Services Inc. the right to record my child’s voice and likeness for use in media production. Enrichment Services reserves the right to cancel or decrease class time due to enrollment or age of students or adjust the scheduled class day or time. Minimum class size 10 students. No credit for missed classes. Emailed notification is required if withdrawing from a program. Friday/Monday classes not held before/after Easter. December classes are held the first 2 weeks only. No classes will be held the week of spring break, no classes held Thanksgiving week. No classes held on July 4th.Click here to confirm agreement:* I agree to the terms specified above and wish to continue with the registration process. Don't close webpage This form may take a few minutes to submit
