Trial Class Form
Instructions: Please read before you fill out and fill out form completely
- Please fill out this form completely and verify you have entered the correct information. Incomplete forms will delay your registration.
- Please select the correct drop down boxes
- We use e-mail as our main form of communication. Please add our email address to your contact book so you do not miss anything. If you do not check your email regularly please add that to the comments section of this form. firstname.lastname@example.org
Register online and MAIL PAYMENT TO:
Derek Locklear PO Box 1260 Manhattan Beach, CA 90267
(Checks payable to Coach Derek, Inc.)