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New Students: If this is your first class with Rosalyn and Ken, please provide the following additional typed information with your registration, limiting your answers to 1-2 paragraphs per question.
Name_______________________________________________
Address_____________________________________________
City________________________________________________
State/Prov_____________Zip____________________________
Home Phone__________________________________________
Work phone__________________________________________
Email_______________________________________________
$99 Workshop Fee
Check # ______ payable to HLCC and/or
MC Visa Disc AMEX CC#____________________________________ Security Code (3 digit code on back):______ Ex. Date:__________
By registering for this class I acknowledge that all materials are copyrighted and agree that the tuition and registration is per person attending, not per computer or other internet device. And that recording, reproduction, re-transmitting or distribution the class or its contents may only be done by explicit written permission of the teachers.
To register for this workshop please fill out the form above and mail it along with your payment, to the following address.
Shannon Winsky c/o HLCC 261 E. Alegria Ave #12 Sierra Madre, CA 91024
OR,
Email s.winsky3@gmail.com to register with email, please copy and past this registration filled out completely.
Questions? Please feel free to phone Shannon at (626) 602-4642.