We require you to enter all the information accurately. It will help us process your information promptly.

Checkboxes *

• Skokie | Tuesday | February 4 – 1pm-5pm | 4554 Oakton, Skokie, IL 60076
• Elgin | Wednesday | February 12 – 11am-3pm | Borden Library |

Please select the class you wish to join*

Name *

First

Last

Zip Code *

Phone *

Date of Birth (MM/DD/YYYY)* *

Driver's License / State ID #

Email *

Remedial Class

Price: $100.00

Remedial Class Payment $100

Total

$0.00

Submit