Registration Form

Class Registration

This step must be completed before you have a place in class.  Please complete ALL fields below, then go to PayPal and make payment of $101.  Once received, I will confirm payment receipt and confirm your place in class.  If the class date is listed on the Class Schedule page, that means there is still room available in that class.  Each person attending must complete this form.

Student Name: *
Date of Birth: *
Gender: *
Address: *
City: *
State: *
Zip Code: * (5 digits)
Phone: *
Drivers License #: *
Email: *
 Desired Class Date: *  
How did you hear about us?

Once your registration is submitted, be sure to go to PayPal to complete your transaction!  Thanks so much!
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