Please fill out the following form and we will contact you
for payment arrangements. Thank you!

YOU WILL BE CONTACTED BY PHONE OR EMAIL TO CONFIRM YOUR REGISTRATION.  IF YOU DO NOT HEAR FROM US WITHIN 5 DAYS, CALL TO CONFIRM. 
*asterisked items are required

*First & Last Name

*Daytime Phone

Home Phone (if different)

*Street Address

*City

*Zip

*Other Parent's Name(if not applicable, write NA)

*Whether it is OK for the other parent to take the same class(if not applicable, write NA)

Preferred Date(s)

You can check the calendar  for a list of available classes and locations

Preferred county

(we will schedule where you live unless we hear otherwise)

*e-mail address

Optional:  Click here to pay with PayPal* Be sure to return here, using the Back button on your browser, and submit your registration form or your registration will not be submitted.