Camellia Alise Academy Registration
Form Description
Email address *
Full Name (As it will appear on certifications) *
Your answer
Address *
Your answer
Date Of Birth *
Your answer
Phone Number *
Your answer
Email *
Your answer
Location for class Attendance *
Education Level *
Dietary restrictions *
Shirt Size *
I understand that I will have to pay $300 non refundable deposit to enroll in class *
I understand that I must pay the $1200 balance 7 days before day 1 of class. *
A copy of your responses will be emailed to the address you provided.
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