Classes & Events Registration Form

Classes & Events Registration Form
■ Classes and Events

Please choose from the following option(s).
Classes and Events :
If you would like to apply for scholarship, please email Sally Jo (sallyjogilbert@gmail.com).
■ Participant Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
■ Donation

If you wish to support our scholarship fund and Jamal's work, please choose or enter the amount below. Thank you for your generous support!
Donation Amount:

Custom $amount
■ Payment Information

The payment instruction will be provided at the end of the registration process. You will also receive a confirmation email with the payment instruction.
Total Amount Due: $
Payment options
How did you learn about this class/event?

Other
Any additional comments or information you would like to share?
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Payment instruction will be displayed on the next page.
Should be Empty:

■ Classes and Events