My Smart Hands - Class Interest Form
Please use this form to indicate your interest in a My Smart Hands class.  

This will help me determine Days/Times of the Week and Locations in the Valley where there is the most interest for a class, so that I can schedule accordingly.  :-)
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Days and Times that Work for my Schedule *
(Select all that apply.  Please note some days/times are not listed as my schedule is blocked at those times)
Required
What Areas of the Valley are Convenient for You? *
(Please choose all the apply. Note: Some areas may not be listed as other instructors may cover those areas)
Required
Your Name
(Please enter First and Last Name)
Email Address
(Please enter if you'd like to be contacted when classes form in your area)
Phone Number
(Please include area code - ex: 602-555-1212)
How Did You Hear About Us?
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