Printable Sign Up Form
If you prefer to pay for lessons via postal mail you may print out this form and send it in with a check or credit card # to the following address:
Nick Nurse
109 Carver Ave.
Rhodes, IA 50234
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Student's Name______________________
Student's Age________ Grade_________
Name _____________________________________________________
Address ____________________________________________________
City, State __________________________________________________________________
Zip ____________________________________________________
Phone _____________________________
Email ________________________________________
Check enclosed____ OR Credit Card___
Credit Card # ____________________________ Exp. _________
Signature _____________________________________
Important: To ensure the greatest chance of getting an ideal lesson time - make sure you send this form in IMMEDIATELY.
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