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Registration for classes and events,
please follow instructions below. Your cancelled check is your
receipt. Full refund before second class, no refund after second
class.
Please register
early to help us avoid prematurely canceling classes
due to insufficient enrollment. Don't wait to the
last minute
Please complete and
return this form with your payment to:
The Tara Circle
Education Dept.
Alder Manor 1097 North Broadway, Yonkers NY 10701
Registration Form
Are you a new ___ returning ____ student?
Name: First__________________________
Last_______________________
Address: __________________________________________________
_________________________________________________
____________________________________________
___________________________________________
Phone:(
Day)__________________ Evening)_______________________
E-Mail:____________________________________________________
Class
Number______________ FEE______
Class
Number______________ FEE______
Class
Number______________ FEE______
Class
Number_______________ FEE______
Total Fees ________________
Fees: Adults $130 received by September 22; $140
received on/after September 25
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