Registration

Class Date: Please SelectApril 18th 10am - 4pm FULLMay 28th 10am - 4pm

Drivers License #: (no spaces or dashes) *

Last Name: *

First Name: *

Address: *

City: *

Zip code: *

Date of birth: MM/DD/YYYY (use slashes) *

Phone number XXX XXX XXXX *

Email *

Payment *

• Zelle - 516 818 3157
• Check by mail

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