Register for Class

Please fill out the registration form below to register for a class.

A $100.00 refundable deposit is required when registering for a class to hold your place.



* - Denotes Required

Student Information  
* Class to Attend:
* First Name:
* Last Name:
* Daytime Phone:
* Email Address:
 (for confirmation)
Billing Information
  
* Name:
 (as it appears on Card)
* Billing Street Address:
* Billing City & State:
* Billing Zip Code:
* Billing Telephone:
* Select Credit Card:
* Card Number:
* Expiration Date:
 Month Year
Would you like a reciept?:
 Yes No
* Agreement of Charges:
 By selecting "I Agree" below, I understand that a refundable charge of $100.00 will be charged to my credit card and that this only holds my place in the class. I further understand that the remainder of $149.00 will be due by the first day of the class.
 
I Agree