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class registration
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your
information |
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name: |
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address: |
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phone: |
Phone number required -- Used
only in case of cancellation |
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e-mail: |
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classes
requested |
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title(s) |
dates/times: |
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1. |
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2. |
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3. |
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I
have read and understand the Class & Registration Policies
Signed: |
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method of
payment |
register in person
or by mail |
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register by phone,
fax, mail or in person |
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credit
card number: |
expiration
date: |
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signature: |
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Circle
Which Credit Card Used:
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