PLEASE NOTE: If you do not enter your payment information to complete the check out process, you will be dropped from the class and your enrollment will NOT be completed.
Contact Information
Please enter the contact info for who will be paying the bill. If the student is a minor, please enter the guardian's contact info.

First Name(s) *
Last Name *
Address 1 *
Address 2
City *
State *
ZIP *
*
E-mail/Login *(for example: myname@gmail.com)
Additional E-mails(for example: myson@gmail.com, mydaughter@yahoo.com)

Password
Please make a note of your e-mail/login above and the password you enter below. They will be used to log into your account in the future.

Password *
Re-type Password *

How did you hear about us?
More Details

Emergency Contact Information
Who should we contact, other than the contact listed above, in case of an emergency?

Emergency Contact Name(s)
Emergency Contact Phone(s)
* = Required Fields
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