* 1. Last Name

* 2. First Name

* 3. Select the day of the week and time of the session. Mondays will be mainly conversational. Thursdays will include lessons and practice. You may attend as many sessions as you wish.

* 4. Telephone

* 5. E-Mail Address (This will be used only to remind you of this program.)

* 6. How did you hear about this program?

* 7. Please click this checkbox if you want to cancel a registration you made previously.