Beginner Course Registration Form

Regular Price = ~~$650~~
Winter Special Price = $550

Due today to reserve your spot in the course: $100

Remaining balance due: 3 weeks after the start of the course

Full Name:*

First

Last

Student E-mail:

Parent Email:

Phone Number:*

Address:

Street Address City State / Province / Region Postal / Zip Code Country

Start Date: Please indicate when you would like to start the course.

Did someone refer you? If so please enter their name: