Purple Wand (Level 1) Registration Register before September 1st and receive $100 off. Use the coupon code PURPLE to receive your discount. Parent's Name* First Last Student's Name* First Last Student's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent's Email* Student's Email (if different) Parent's Cell Phone*Student's Cell Phone*Student's Gender Male Female Grade of student*3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeChoose Start Date (Purple Wand, 10 lessons)*Starting February 2021Starting March 2021Product NameHave a coupon code? Enter it here for discountTotal $0.00 I agree that I am authorized to make payments using Paypal or a credit card.* I agree I give permission to Young Wizards Club to use images of my child's participation during class time for marketing purposes.* Yes No Additional comments or questionsJoin our Mailing ListPhoneThis field is for validation purposes and should be left unchanged. Δ
