First Name				Home Phone
Last Name				Work Phone
Address				Cell Phone
Town		State		Zip
Email		Level		Day & Time

Levels	Day & Time	Member	Non-Member
2.5 Women	Thurs 9:30-11:30am	$620.00	$740.00
2.5 Women	Tues 6:30-8:30pm	$620.00	$740.00
3.0 Women	Wed 9:30-11:30am	$620.00	$740.00
3.0 Women	Tues 6:30-8:30pm	$620.00	$740.00
3.5 Women	Mon 9:30-11:30am	$620.00	$740.00
4.0 Women	Mon 9:30-11:30am	$620.00	$740.00
2.5, 3.0, & 3.5 Women Singles	Tues 9:30-11:30am	$620.00	$740.00
3.5 Men	Thurs 6:30-8:30pm	$620.00	$740.00