Class Registration

Mixed Abilities with Marika Hahn

Secure Online Registration Form & Payment
* means required

👉 Link to Class Policies page

Mixed Abilities with Marika Hahn - Read Class Policies FIRST (link above) then fill in form*

I have read & agree to follow the Class Policies*

Do you want the recommended brush ($11.25)?*

Yes I want the brush
No, I don't want the brush

First Name*

Last Name*

Address*

City*

State*

ZIP code*

Phone*

Type of phone*

Mobile
Landline

Email Address*

Are you a MAC member*

Yes I am!
Not yet

Interested in occasionally helping at the MAC?*

Sure! I'll help when I can
Not right now

Heard about class from:

MAC website
MAC newsletter
Email about the class from MAC
MAC Facebook page
Positively Marlborough Facebook page
Flyer around town
Instructor
Friend
Rivereast Bulletin
Glastonbury Citizen
Not sure
None of the above / Other

Heard about class from: (Other) please list

Your enrollment will be valid only AFTER payment is made on next page*

I understand & agree

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