R E G I S T R A T I O N       F O R M


To register for class sessions with Jo Zukovich, please send this form
and check payable to:

Jo Zukovich l 4687 Del Monte Street l San Diego, CA  92107 l 619-222-4287

July session, 4 classes:      

Tuesdays - 7/6, 7/13, 7/20 & 7/27

$70

o
August session, 4 classes:    

 Tuesdays - 8/3, 8/10, 8/17 & 8/24

$70

 o
September session, 3 classes:    

Tuesdays - 8/31, 9/7 & 9/14

 $52 o
November session, 4 classes:    

 Tuesdays - 11/2, 11/9, 11/16 & 11/23

$70

 o

Total Enclosed $________________

If you need to cancel your session please give a 96 hour cancellation notice for refund.  Due to limited size of classes, we’re apologize, but missed classes can’t be made up.

Name: __________________________________________________________________________________

Address: ________________________________________________________________________________

City: ______________________________________________ State: __________ Zip: ________________

e-mail (E-mail address to notify you of any changes): ___________________________________________

Phone: (daytime) __________________________________ (evening) ______________________________