General Program registration form

Apr 22, 2019

General Program registration form

Name of Class or Workshop

Start Date

Name of Student(s)

Address

Phone Number

Email address

Emergency Contact

Phone Number

How did you hear about this class? (Check all that apply.) How did you hear about this class? (Check all that apply.) Social media Referral from a friend Newspaper ad AGOA website AGOA Newsletter Google Search

6 + 9 =

Cancellation Policy: A full refund is available if your cancellation is received within 14 calendar days of the date of this form or 1 month prior to the date of the first class, or if the class is cancelled.

Disclaimer: Class dates and times may vary from those listed.

Please complete the registration process, after submitting your registration form, by closing this pop-up and selecting the appropriate “Buy Now” button to make your payment.

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