In registering for this class you agree that you have not been sick in the past 2 weeks, or been in contact with anyone who is sick.
If you have any of these symptoms please contact us.
•Shortness of breath, difficulty breathing
•A general feeling of being unwell
* Loss of taste or smell
Please call or email if you would like more information about classes or products. firstname.lastname@example.org 505 670-3538
CUT AND PASTE THIS FORM INTO AN EMAIL, PLEASE
You will be contacted by phone, and email when this form is received
Course Registration Form
Work Phone: Cell Phone:
Name of Class:
Date(s) of Class:
Form of Payment:
Credit Card Number:
Expiration Date 3 digit code on back of card
Have You Taken A Class With us Before?
If so, what class?
White Cloud Institute, PO Box 31996 Bellingham, WA 98228
In order to guarantee your space in class a $75 non refundable deposit is due when you register.
Full tuition is due 2 weeks prior to class. No refunds once a class begins