Wufoo

Class Registration

Please fill out the form completely, if possible. Thank you!

Name * First Last
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Address

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Childcare
How Many?
Please list the ages of your children.
If the class you are registering for requires payment, please bring the amount required to the first session of class in the form of check or cash. Thank you!
Classes Alpha Marriage Course-$50 5-8p Living Free-$0 5-7p
Make sure to double check the times of class so that you are not in 2 classes at the same time.
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