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Life Skills Institute - Class Sign Up Form
Hello!  Please take a moment to answer these few questions.  We look forward to meeting you soon!
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Name  (First and Last) *
Please review the calendar with class times before committing to classes below.

I would like to attend the following class(es) at LSI:
How did you hear about us? *
Phone Number *
Home Address *
Email Address 
Gender *
How would you best describe yourself?
How many people live in your household, including yourself? *
Select the option closest to your household monthly income below. *
Photo/Video Release Permission

I consent to the unrestricted use by Park View Community Mission (and those acting with its permission and authority), of any and all media taken, in whole or in part, unlimited use, for all purposes in any form or medium, including, without limitation, its use through or on any electronic media, including the internet.  

I waive any right to inspect or approve the finished product or products or the advertising copy of printed matter that may be used with the finished media.  
Questions?  Drop them here and a staff member will contact you!
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