To enroll for a class on-line, complete the registration form below and click submit.  Class dates, times, locations, and costs can be found by clicking the calendar tab.

CLASS:  

DATE OF CLASS:   
Name: 

*

Address: 
City: 

*

State:

*

Zip:
Home Phone:

*

Work Phone:
E-mail:

*

*

Required Fields
Comments or special requests:


Pre-registration is required.  Payment is due at time of registration.  You will not be registered for the class until payment has been received. To ensure your safety, we prefer to take credit card information via the phone.  Following submission of this form, please contact the Prairie Valley Chapter by calling (402) 564-8314 to complete the payment portion of your registration.