Community Class Payment Form

Community Class Payment Form
Register for community classes and securely submit your payment.
Participant Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Please select the class(es) you wish to enroll in and submit payment below.
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Yoga Class
Weekly yoga sessions for all levels.
$40.00QuantitySession Time

Art Workshop
Creative art classes for beginners and enthusiasts.
$50.00Quantity

Cooking Class
Hands-on cooking experience with local chefs.
$60.00QuantityCuisine Focus

Dance Class
Fun dance sessions for all ages.
$35.00Quantity

Music Lessons
Instrumental and vocal music instruction.
$45.00QuantityInstrument

Total
$0.00
Emergency Contact Name
First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any allergies, medical conditions, or special accommodations we should be aware of?
How did you hear about our community classes?
Participant Signature (required for registration)
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