COMPUTER CLASS REGISTRATION FORM
ADULTS: 25 USD ( 1 MONTH) KIDS: 15 USD (1 MONTH)
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Gender
Male
Female
N/A
Age
0 - 17
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or more
Education
Less than HS diploma
High school
Some college
Bachelors degree
Graduate degree
Submit
Should be Empty: