One Week Classroom Registration Form
Choose the date and location for your One-Week class! *
Last Name *
Your answer
First Name *
Your answer
Town of Residence *
Your answer
State *
MA students must be 15 years and 9 months old by the first class.(D.O.B) *
RI students must be 15 years 10 months old by the first class (D.O.B)
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Email Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
If under 18 enter Parent or Legal Guardian's name *
Your answer
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