December 5 – December 28 Chicago 2022 A representative will contact you after submitting your information. This form will secure your seat in the class. PLEASE REGISTER ONLINE BY FILLING OUT THE FORM BELOW Please select the class you wish to join*12-12-22 (6:30pm-8:30pm) Teen Class ChicagoParent/Guardian Name (First and Last)*First Name (Student)*Last Name (Student)*DATE OF BIRTH (MM/DD/YYYY)*City*Street Address1*Postcode / Zip*Phone # (Student)*Phone # (Parent)*Email (Student)*Email (Parent)*SelectSelect Teen Program (Package)BasicIntermediateAdvancedAdditional Discounted Services*Online Written Permit Practice ($25)Questions/Comments?Send Error occured. Please confirm your data and submit again: