2008 Summer Class
Registration Form

Please call for availability first at 818.865.1162

Please print out a schedule of classes and/or take notes of the classes you would like to participate in
before filling out the registration form. 

Unfortunately, you cannot go back to review half-way through without losing the information inputted.

Please fill out this form,  PRINT OUT  and fax it to us at: 818-865-1162 and mail payment to: 501(c)(3) NON-PROFIT ORGANIZATION 31240-B La Baya Drive Westlake Village, CA  91362 818.865.1162 Name E-mail Address Age (or Adult) Address Phone Cell Phone Emergency Contact Phone CIRCLE ONE: Class Choice 1   AM   PM Class Choice 2   AM   PM Class Choice 3   AM   PM Class Choice 4   AM   PM Class Choice 5   AM   PM Class Choice 6   AM   PM       Two-Day Classes: x $100 = $ One-Day Class: x $50 = $    Total: $ Notes or Comments Please fill out this form,  PRINT OUT  and fax it to us at: 818-865-1162 and mail payment to: 501(c)(3) NON-PROFIT ORGANIZATION 31240-B La Baya Drive Westlake Village, CA  91362 818.865.1162