Contact Phone number:
Street address:
City:Zipcode:
Social Security-
last 4 digits:
Comments or
questions:
This is a recert
not an initial class. Tuition is $200
with all materials included. JHPC Alumni
receive $50 discount. If you
would like to reserve a program T-Shirt
please note the size in the comment
area. T-shirts are $15.
A deposit is necessary to hold your
registration. When you press
SUBMIT this form will be sent and a
printable form will come up to be sent
in with your deposit. All tuition must
be paid by CASH or MONEY ORDER or BANK
CHECK OR CREDIT CARD only. PERSONAL CHECKS ARE NOT
ACCEPTED. (1AA)
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