Name *

First Name

Last Name

Phone *

(###)

###

####

Which dates are you registering for? *

Please note, we encourage you to attend all sessions of the series you select to get the full benefit of the course. All classes begin at 6:30 PM. Jan 7, 14, 21, 28 and Feb 4, 11 (Winter Series) Apr 1, 8, 15, 22, 29 and May 6 (Spring Series) Jul 1, 8, 15, 22, 29 and Aug 5. (Summer Series) Oct 7, 14, 21, 28 and Nov 4, 11 (Fall Series)

Winter Series

Spring Series

Summer Series

Fall Series

Are you bringing a support person(s)? *

Yes

No

Maybe