To register, please complete the form below.

Refund policy: Registrations that are cancelled less than 7 days prior to the class start date are subject to a cancellation fee of $25. Cancellations more than 7 days from the class start date, will be refunded in full less a $10 fee for credit card refund processing fee.

Student Information

* Indicates Required Field
(As it appears on student's birth certificate)
(As it appears on student's birth certificate. If no middle name, please type "none")
(As it appears on student's birth certificate)
(optional)
(optional, Example "Jr." or "III" as it appears on birth certificate)
(optional)
(optional)
(mm/dd/yyyy)

Parent/Guardian Information

Parent/Guardian (required)

Additional Parent/Guardian (optional)

Class Information

Classroom Start Date:
Tuesday, May 2, 2017
Classroom End Date:
Tuesday, May 23, 2017
Classroom Time:
6:00 PM - 9:00 PM
Location:
Woodbury Safeway Classroom

Payment Information



Billing Information

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