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Weekly Program Fee
$25
$20
-
each with friend registration (separate registration required)
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Name of Second Person Registering (on separate registration)
Add 3% to my total amount to help cover the payment processing fees
