MAAP Registration/Payment - Orange County
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By checking the box above, I agree to subscribe to DRC e-news which will be sent to my email address above. I understand that I may choose to unsubscribe at any time. DRC does not exchange, rent or sell its mailing list to any outside organization.Daytime phone*Evening phone/cell*Referral source*
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Details for referral source "other" M.A.A.P. Program Fee*Program Fee $125Total
Select first choice:Feb 22; Mar 1, 8 & 15, 2018May 24 & 31; Jun 7 & 14, 2018Sept 20 & 27; Oct 4 & 11, 2018Nov 8, 15 & 29; Dec 6, 2018Each class is a total of 12 hours and takes place over 4 evening sessions from 6 pm to 9 pm.Select second choice:Feb 22; Mar 1, 8 & 15, 2018May 24 & 31; Jun 7 & 14, 2018Sept 20 & 27; Oct 4 & 11, 2018Nov 8, 15 & 29; Dec 6, 2018Each class is a total of 12 hours and takes place over 4 evening sessions from 6 pm to 9 pm.TERMS OF REGISTRATION: (A) an email will be sent to address provided with registration confirmation and instructions for attending class; (B) No reminders provided prior to class start date; (C) Notification required 48 hrs prior to date of first class if unable to attend; $15 rescheduling fee will apply for each date change; (D) Failure to attend scheduled class forfeits any money paid.*I have read, understand and agree to above terms by typing my name in signature box below. I certify that the credit card used for payment is in my name as Program Participant and I authorize payment to DRC as submitted through PayPal for this class.Signature - type name in box*PhoneThis field is for validation purposes and should be left unchanged.