Class Registration Form

Name: _____________________________________
Address: _____________________________________
City/State/Zip: _____________________________________
Home Phone: _____________________________________
Cell or Work Phone: _____________________________________
Email Address: _____________________________________

Classes you are signing up for:

Class Name/Level Day Time Fee
       
       
       
Class Fee Subtotal: $
More than 1 class/week? Subtract 20% of Class Fee Subtotal  
Any coupons?  
GRAND TOTAL: $