Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Start date of class you are registering for *

if you cannot remember the exact date, don't worry, having the right month is what we mostly need here

MM

DD

YYYY

How are you paying for this course? *

Mail in check (send to 875 S.E. Park Drive, Gresham Oregon 97080 USA)

Hand deliver cash or check (locals can do this by arranging a meeting with Nephyr - please request in the comments below)

Paying with an approved payment plan

Credit card payment/s (payment link is on the Contacts page of this website)

Venmo (you will be sent Venmo payment info)

Paypal (you will be send Paypal payment info)

Cultural Awareness Class no payment