Registration Form: Winter/Spring ‘10

Thank you for your interest in our classes and workshops. Please fill out the following form with necessary information. Please note that the enrollment of each class is small (5-12), and the registration is on a first come first serve basis.

If this is your first time taking one of our 10-11 week-long classes, we suggest that you make an appointment to meet with us. Please choose the date and time for your appointment during the following hours:

Mondays, 12 - 8 pm
Fridays, 12 - 8 pm
Sundays, 12 - 8 pm

If you are signing up for a shorter class, a workshop, or live outside of Philadelphia and its vicinity, we will conduct a simple phone interview.

We will contact you with further details within 72 hours. If you have questions or do not hear from us after 72 hours, please contact us.

First Name, Last Name:
Street*:
City*:
State*:
Zip*:
Phone #*:
E-mail*:
Class that interests you*:
Payment Method*:	Credit Card (over phone or paypal) Check/MO (mail-in)
10% Membership Discount: (For Supporter or more)	Yes, I am a member! No, but I am interested or want to upgrade! No
Date & time for an appointment:	January February
	Monday Friday Sunday pm
How did you hear about us?:
Comment:
	* denotes required information.