Name:   

  E-mail:  

  Phone:  () -

  Eugene  
   Classes:
                

  Portland  
  Classes:     

Please spell clearly the classes requested 
including city and start time of class.

Your contact information is absolutely secure, 
and will never be given or sold to another organization.  This information will be used only for registration 
or to inform you of a change of schedule.  
If you would like to join our emial list
please do so under:  mailing list. 
 Thank you.

Payment in full is required before class begins.
Pre-registration saves 
$5. for both classes in Eugene
 and $5. for both classes in Portland

Please arrive 15 minutes early to pay.  

Cash or check is accepted.  
A  $25.  fee will be charged for any returned checks, 
in addition to the amount 
of the check received.  

Class payment is not refundable and 
not transferable to other persons or sessions.  

Please note that missed classes are the sole responsibility of the student, and make up classes 
are not available.

Pre-registration closes midnight, 
Thursday, January 22