class registration        

     

 

class registration

your information

name:    
address:    
phone:
Phone number required -- Used only in case of cancellation
e-mail:    
classes requested

title(s)

dates/times:
1.    
2.    
3.    
I have read and understand the Class & Registration Policies

Signed:

method of payment
register in person
 or by mail

cash            money order       check       

register by phone, fax, mail or in person

  credit card

credit card number: expiration date:            
signature:
Circle Which Credit Card Used: