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Changing The World One Life At A Time
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Registration Social Group
A
Non-Refundable Registration fee of $50 and Deposi
t of $200
class is required with registration.
The deposit will be credited towards tuition.
The remaining $400 tuition is due prior to the start of the class
.
Please see our products page to pay through pay-pal. Spot will not be secure until the deposit is received.
Thank You!
*Student/Client Name:
*Parent's Name:
*Mailing Address:
*Email Address:
*Home Phone:
Cell Phone
*Age of Client:
*School District
*Please Choose Preferred Day/Time (all applicable):
Mondays 4:45 pm
Mondays 6:00 pm
Tuesdays 4:45 pm
Tuesdays 6:00 pm
Wednesdays 4:45 pm
Wednesdays 6:00 pm
Thursdays 4:45 pm
Thursdays 6:00 pm
Fridays college only
Any Day or Time Works
Katy location Tuesdays or Thursdays
Memorial location Wednesdays
*Screening:
My child has been through a screening.
My child has not been through a screening.
*Deposit Being Paid By:
-Select a choice-
Private Funds
Flex Spending Account
Third Party Provider
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