Enroll Today — Plumb Askew

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Please fill out the form below and be sure to follow the instructions after you hit ‘Submit’ on how to pay. You are not fully enrolled until payment is received.

Name

First Name

Last Name

Birthdate

MM

DD

YYYY

Email

Phone

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Address

Address 1

Address 2

City

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Zip/Postal Code

Country

Pronouns

Instagram

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Facebook

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Occupation

Special Notes

Please share any accommodations or special things that you may need to succeed in this course.

Emergency Contact

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Relationship

Payment

You are required to fill out this section and then send payment following the directions after you submit the form below. Full tuition of $480 is due at the time of this submission. If you are in need of a payment plan, we can accept 4 payments of $120 with the full tuition paid prior to the first class.

Method

Select which payment method you will be using.

Zelle

Venmo