Segment I Col / WV
Sign up for classes at Coloma or Watervliet
Student Full Name
(First Middle Last)
Street Number, City, Zip Code
Student Date of Birth
Date of Segment 1 Class
September 17-October 4
Will the Student be at least 14 Years 8 Months old the first day of class?
Class registration is on a first come first served basis. If a class reaches 36 students the first 36 students who have PAID IN FULL will be registered for the class.
I have read and agree to the registration terms