Name_______________________________________

Address_____________________________Apt#____

City____________________________Zip_________

Phone___________________,___________________

Email_______________________________________

Name of Class______________________________ Day: Mon___ Tue___ Wed___ Thur___ Fri___
Starting Date of Class_____________Time_______

Note: Registration and check must be mailed as registrations cannot be taken by phone.
We cannot accept credit cards at this point.