Request Membership in this Organization!

Fill out the form below and click the Continue button at the bottom.

We're so excited for you to join our 10X Learning Center community!

Families will be required to sign and submit the following items to the leadership team:

  • Medical Waiver and Release of Liability
  • Membership Code of Conduct
     

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Children

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Forum Emails:

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Additional Questions



By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.










By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.



Payment Instructions

Please select the number of students that you are registering from the choices below.

Payment Options