CLASS PLAN - (choose according to total number of classes per family)

BRONZE (1-5 class(es) @ $10.00 USD per class/per week) - full semester must be prepaid

SILVER (6-10 classes @ $8.00 USD per class/per week) - full semester must be prepaid

GOLD (11 or more classes @ $6.00 USD per class/per week) - full semester must be prepaid

1. STUDENT'S NAME

First Name

Last Name

2. STUDENT'S NAME

First Name

Last Name

3. STUDENT'S NAME

First Name

Last Name

4. STUDENT'S NAME

First Name

Last Name

5. STUDENT'S NAME

First Name

Last Name

6. STUDENT'S NAME

First Name

Last Name

7. STUDENT'S NAME

First Name

Last Name

PARENT and/or GUARDIAN NAME

Only Applicable if any students in your family are under the age of 18 (Required in compliance to local and state laws)

First Name

Last Name

Legal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Text

YES

NO