CHILDProgram Registration RequestPlease fill out this form to request space in a specific program. One form per child. Parent's Name * First Name Last Name Email * Phone * (###) ### #### Child's First Name * Child's Birthday * MM DD YYYY Program of Interest - select as many as you want Please only select age appropriate options. If they are full then you will see the "Waitlist Only." This form will put you on a waitlist if that is the only option for your child's class level. French Toddler ages 2-3.5 : Sat @ 10am in NE : Spots Available French Toddler ages 2-3.5 : Sun @ 9am in NW : Spots Available French Preschool ages 3.5-5 : Sat @ 11am in NE : 4 Spots Available ----------------------------------------------- English Toddler ages 2-3.5 : Sat @ 9am in NE : Spots Available English Toddler ages 2-3.5 : Sun @ 10am in NW : 4 Spots Available English Preschool ages 3.5-5 : Sun @ 11am in NW : 2 Spots Available English PreBallet ages 5-8 : Sat @ 1pm in NW : 1 Spot Available ------------------------------------------------ Hula Class ages 5-7: Sun @ 1pm in NW : Spots Available Payment Option * Please Select one Pay In Full Payment Plan (2 instalments) Message Thank you! Your request has been received. If space is available, an invoice will be emailed to you. Please check your spam folder.If no space is available or the registration period is not open yet for your class, you will be placed on the waitlist.Please be aware that it could take until the next 1 to 2 sessions to hear back about an available spot.You do not need to re-submit the form. We go in the order they are received. Please add ima.academy.pdx@gmail.com to your email acceptance list so you don’t miss a notification.