Basic Survival Sundays AfriClass Registration Form

Basic Survival Sundays AfriClass Online

To Register Please Complete All Questions.
Parents Information *

First Name Last Name
Address *

Street Address/PO Box

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Prices:

Afronaut Club Members 20% off:

$36 per Family for all 4 AfriClasses™

Non-Afronaut Club Members:

$45 per Family for all 4 AfriClasses™

4 Sundays 3:00pm EST March 7, April 4, May 2, June 13 2021
How Many Children are you enrolling? *

Payment Options

3:00pm EST 4 Sundays March 7, April 4, May 2, June 13 $ 36.00

Afronaut Club Members Total Price $36

3:00pm EST 4 Sundays March 7, April 4, May 2, June 13 2 $ 45.00

Non Afronaut Club Members

Enter coupon

Total $ 0.00

Pay with PayPal

Please click one of the PayPal options to complete payment and submit the form.

Basic Survival Sundays AfriClass Online