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Registration form for Online Course

*IMPORTANT* If you are registering for one of today’s classes, you must call 954-478-2062 and register by phone. If you use the form below for one of today’s classes, we cannot guarantee you a spot in the class.
Choose a class*
Please choose a class

Amount*
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First Name*
Please type your full name.

Last Name*
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Email Address*
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Address*
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City*
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State*
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Zip Code*
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Phone*
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If you have an attorney please fill in their information as well, otherwise skip to the end to submit.
Attorney’s First Name
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Attorney's Last Name
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Attorney's Address
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City
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State
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Zip
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Attorney's Email
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Attorney's Phone
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