Mail this registration and make check out to:
David Mast
P.O. Box 1673
Cockeysville, MD 21030
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Please check the clinic you want....
ORCHARD CLINIC SCHEDULE
ADULT CLASSES
|__| Wednesdays 12:30-2:00 p.m. Intermediate $350
|__| Thursdays 12:30-2:00 p.m. Intermediate $350
|__| Saturdays 12:00-2:00 p.m. Beginner/Inter. $450
|__| Saturdays 2:00-4:00 p.m. Intermediate/Adv. $450
|__| Saturdays 12:00-1:00 p.m. Beginner/Inter. $250
|__| Saturdays 2:00-3:00 p.m. Intermediate/Adv. $250
KID CLASSES
|__| Mondays 4:00-5:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Mondays 5:00-6:00 p.m. 8-12 yr old/Beginner/Intermediate $250
|__| Tuesdays 4:00-5:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Tuesdays 5:00-6:00 p.m. 8-12 yr old/Beginner/Intermediate $250
|__| Wednesdays 4:00-5:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Wednesdays 4:00-5:00 p.m. 4-6 yr old/Pee-Wee's $250
|__| Wednesdays 5:00-6:00 p.m. 8-12 yr old/Beginner/Intermediate $250
|__| Fridays 4:00-6:00 p.m. 9-14 yr old/Intermediate/Adv. $450
|__| Fridays 4:00-5:00 p.m. 9-14 yr old/Intermediate/Adv. $250
|__| Fridays 5:00-6:00 p.m. 9-14 yr old/Intermediate/Adv. $250
|__| Saturdays 11:00-12:00 p.m. 4-6 yr old/Pee Wee's $250
|__| Saturdays 11:00-12:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Saturdays 12:00-1:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Saturdays 1:00-2:00 p.m. 6-10 yr old/Beginner/Intermediate $250
|__| Saturdays 12:00-2:00 p.m. 11-15 yr old/Intermediate/Adv. $450
|__| Saturdays 2:00-4:00 p.m. 11-15 yr old/Intermediate/Adv. $450
|__| Saturdays 12:00-1:00 p.m. 11-15 yr old/Intermediate/Adv. $250
|__| Saturdays 1:00-2:00 p.m. 11-15 yr old/Intermediate/Adv. $250
|__| Saturdays 2:00-3:00 p.m. 11-15 yr old/Intermediate/Adv. $250
|__| Saturdays 3:00-4:00 p.m. 11-15 yr old/Intermediate/Adv. $250

REGISTRATION FORM
PLEASE PAY IN FULL WHEN REGISTERING!
Tuiton is NON-REFUNDABLE and NON-TRANSFERABLE.
NAME: _______________________________________________________________
PARENT NAME: _______________________________________________________________
ADDRESS: _______________________________________________________________
  _______________________________________________________________
HOME PHONE: _______________________________________________________________
WORK or CELL PHONE: _______________________________________________________________
CLINIC SELECTED: _______________________________________________________________
STUDENT AGE: ________________  
SCHOOL: _______________________________________________________________
Make Check Payable to David Mast and mail check and registration to:
DAVID MAST
PO Box 1673
Cockeysville, MD 21030