Adult Classes Registration Form

Name*
First Last
Address*
Street Address City State ZIP Code
Phone
Email*
Are you a member of the AFLCR?*
Please answer "Yes" only if you have joined or renewed within the last 12 months.
- No
- Yes
How did you hear about our classes?
Class Selection*
Member Discount Applied
Price: $0.00
Reading Materials Fee
Price: $5.00
Course Materials Fee
Price: $7.00
Book Option
If you already own the course material ("Latitudes 1" for classes A1 101 through A2 101, or "Latitudes 2" for A2 102 and above), please select the second option from this menu to subtract the course material fee.
Total
$0.00