Registration

Course #: 4721
Location: ECP Staten Island, 75 Vanderbilt Avenue Staten Island, NY
Date: 07/18/2017-11/16/2017 (Tuesday, Wednesday & 5 Mondays)
Time: 6:00 PM - 10:00 PM

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Last Name: *
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Apt #:
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Primary Phone Number: * (Example: 718-123-1234)
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Registration is not complete until your $250 non-refundable registration fee is received.