Payment
Form

Important:

If you are trying to register for a class, please find the particular course you'd like to register for, and register using that form which will allow for deposit or partial payments.

If you are attempting to make a payment toward your existing class registration, continue on! The form below will let you specify an amount you'd like to pay.

Student Information

First Name *

Last Name *

Birth Date *

Month / Date / Year

Contact Information

Email *

Phone Number *

Billing Information

Payment Amount *

If balance due is different from the number in this box, please change payment amount (whole numbers only, no $ sign)

Card Number *

Cardholder First Name *

Cardholder Last Name *

Security Code *

Billing Address *

City *

State *

Zip *

Country *