Name *

First Name

Last Name

Phone

(###)

###

####

Classes *

Please select the classes you are interested in

Introduction Class

Four Week Class

Six Week Class

Eight Week Class

Other

Class Day

Please select your preferred class day

Tuesday

Thursday

Other

Class Time

Please select your preferred class time of day

Morning

Afternoon

Ideal start date

(please be aware that these classes are popular and there is often a waiting list)

MM

DD

YYYY