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Name Address (this address must be the same as credit card address) City Zip Code Home Phone Work Phone Session Start Date Class Title Class Day(s) you would like to attend Class Time(s) you would like to attend Number of times per week you will be attending Type the characters shown in image for verification. All letters are case sensitive and 0 refers to the number zero. Note: Please come to your first class at least 15 minutes early to sign the necessary paperwork. Thank you
Note: Please come to your first class at least 15 minutes early to sign the necessary paperwork. Thank you