Online Signup

Dear student please complete steps 1 through 3 to signup for a classroom and have your seat reserved. Our web site is updated Real-Time so to assure accuracy of the information. Please make sure to include your email address because your enrollment confirmation will be sent there.
SSL Certificate

 
Student Information
First Name:  * Student Cell Phone: *
Middle Name: *
If you don't have middle name please enter: NA
Wear Glasses/Contacts:
Last Name:  *   How Did You Hear About Us:
Address:  * Gender:
City:  * High School:
State and Zip:    * License#:
Date Of Birth:      * Student Medication:
Student Email: * Medical/Physical Conditions:
Home Phone: * Fainting / Blackout / Seizure:
 
 
* - Required  
 
  Please call 616-866-8520 with credit card information or bring your credit card on the first day of class.  
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