Class Registration Form
Fill out the form carefully for registration.
Parent Name
First Name
Middle Name
Last Name
Your E-mail
example@example.com
List of Classes
Please Select
One-on-One
Masterclass
Group Class
Free Class
My Products
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( X )
Reading Tutoring
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Group Master Class (1 Hour Class up to 10 students)
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Group Education Session (50-minute Class up to 50 students)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Basic Garden Class
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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