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• First Name *
• Last Name *
• Gender *
• Age *
• Phone *
• Email *
• Preferred Method of Contact *
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• Identificaiton Card *
  I understand that I have to have a valid identification card to take the class.I agreeI disagree
• If I am not a US citizen, need proof of lawfut status *
  I agree that if I am not a citizen of the US, I have proof that I have lawful permanent residency in the US.I agreeI disagree
• No misdemeanor or felony convictions *
  I affirm that I have not been convicted of a misdemeanor or felony.I agreeI disagree
• Course 1 Request
• Course 2 Requested
• Course 3 Requested
• Number of People Attending Courses?
• Comments *

 

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