BSOTB Minimester Registration Form

BSOTB Minimester Registration Form

One form per student please.
The BSOTB Minimester is for 6 weeks, one night per week on Tuesday or Thursday. All classes are held virtually via Zoom from 6:30 pm - 8:30 pm each night.

Tuesday classes begin on May 19, 2026 and end on June 23, 2026. Thursday classes begin on May 21, 2026 and end on June 24, 2026.
SSN (Last 4 Digits ONLY)*
STUDENT NAME

FIRSTMIDDLELAST
Address

STREET ADDRESS

STREET ADDRESS LINE 2

CITYSTATE/PROVINCE

POSTAL/ZIP CODECountry
STUDENT EMAIL*
example@example.com
MOBILE NUMBER*

AREA CODEPHONE NUMBER
COURSE SELECTION #1 Click Dropdown to select Location & Course Selection*
COURSE SELECTION #2 Click Dropdown to select Location & Course Selection
REFERRED BY?
EMERGENCY CONTACT

FIRST & LAST NAMERELATIONSHIP PHONE NUMBER
ADDITIONAL COMMENTS

Select Fee*

1-COURSE FEE$30.00

I have selected my course option above.

2-COURSE FEE$50.00

I have selected two courses above.

ADD 2nd course$20.00

This option is ONLY for use after checking out for 1 class and needing to add the second class for the discount.

Enter coupon

Total $0.00