Heartlight Registration Form
*Required Field

* Child's School
* Child's Name
* Child's Grade
* Home Phone #
* Contact Email
How Many Times Has Child Taken Heartlight Previously?
1. PLEASE WEAR COMFORTABLE CLOTHING AND TENNIS SHOES TO THE FIRST CLASS. 2. PLEASE BRING YOUR REGISTRATION FORM AND PAYMENT TO THE FIRST CLASS. 3. PLAN TO MEET YOUR HEARTLIGHT TEACHER BY THE LUNCH TABLES ON THE FIRST DAY.