Register below!

 

Valley Class Registration Form
Check spelling and fill out completely. *These fields are required.

 
*Participant Name *Program Name
Emergency Contact
Emergency Number
*Participant Mailing Address
*Phone     *Email
Work Phone     *Date   *Member/Scan Number
Class charges
You have my approval to charge the cost of my desired class to my account for this month.
You have my approval to charge the cost of my desired class to my account monthly until I cancel from this program.

For more information, contact Kari Parrish at 330-0150 or kparrish@thealaskaclub.com.