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Name:
Business Name (if applicable):
Mailing Address:
Phone Number:
Email Address:
Website (if applicable):
Professional Qualifications:
Course Title:
Course Description:
Age Group for class (if class is geared for children, please specify ages):
Estimated Cost of Supplies Needed:
Class Size (maximum number of students):
Preferred Class Day:
What type of class is this?
One-time class
Class series (4-6 weeks)
Preferred Class Time:
How long does each class last? (1 hour, 2 hours, etc...)