Adult Class Registration

To complete your online registration and payment, simply fill in the fields below.

ITEM

PRICE

QTY

TOTAL

Adult Class Registration Fees (1hr lesson)
Item Price: $70.00
Qty: 1

$70.00

Home Pickup Fee
Item Price: $10.00
Qty: 1

$10.00

TOTAL AMOUNT: $70.00

CLASS/STUDENT INFO

Desired Date Of Class

Student's Full Name

Student's DOB (must be MM/DD/YYYY format)

Student's Address

City

State

Zip

CREDIT CARD INFO

Card Type

Card Number

Expiration Date (MM/YY)

CVV/Card Security Code

BILLING INFO

Name On Card

Billing Address

City

State

Zip

Phone

Check here to indicate you have read and agree to our Adult Class Contract Terms.

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