• First Name
• Last Name
• Email Address
• Phone Number
• Street/PO Address
• City
• State
• Postal/Zip Code

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• I HAVE READ AND UNDERSTAND THE ENROLLMENT AGREEMENT. yes
• I HAVE READ AND UNDERSTAND THE REFUND POLICY AS STATED ABOVE. yes
• CLIENT OR AUTHORIZED REPRESENTATIVE OR LEGAL GUARDIAN IS OVER THE AGE OF 18 YEARS OLD. yes

REGISTRATION FEES