Class Registration Form, Right Brain Armory

Name *

First

Middle

Last

Email *

Address *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Phone *

Date of Birth (Required for NRA Courses) *

NRA Member ID (Optional)

Desired Class *

In order to secure your space in a class, a $75 deposit is required. When you click "Register" you will be redirected to Paypal to complete the deposit. The remainder of the class fee will be collected when you arrive for the class. *

PayPal

Registration deposit to be charged *

Price: $75.00

Question/Comments