Retreat Resident Form Phone ~ All spot placements will be confirmed by you. ~ Days and Times available on form are what COULD BE available based upon demand. Parent First Name (Account Primary) * Last Name * Address * Phone Number * Email Address * Family Status Currently Enrolled Returning New to 7C's Number of students 1 2 3 4 Number of children you would like to schedule Student Name * Student 2 Name Student 3 Name Student 4 Name Date of Birth * Date of Birth 2 Date of Birth 3 Date of Birth 4 Number of Lessons Student 1 * 1 (Default) 2 3 4 Student 1 number of lessons desired per week. Number of Lessons Student 2 1 (Default) 2 3 4 Student 2 number of lessons desired per week. Number of Lessons Student 3 1 (Default) 2 3 4 Student 3 number of lessons desired per week.sired per week. Number of Lessons Student 4 1 (Default) 2 3 4 Student 4 number of lessons desired per week. AVAILABLE DAYS MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | SUNDAY | Please select the days you could be available. These are the potential times we may be able to offer so please list your true availability as best as possible. Final schedule will be subject to demand and staffing. Additional Comments Agreement * I understand that this is a request form and by filling this out does not guarentee enrollment.