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Course Registration Form
Please fill out and submit the form below to register by email.

*If you are registering for a course to be held at Memorial Hermann WC please register by phone at (713) 456-8116.

Name (first & last)

Street

City

State

Zip Code

Phone

Alternative Phone

Email


What Course are you registering for?
Please mark the date below.

April 25, 2010 - Studio NiaMoves
June 13, 2010 - Memorial Hermann Wellness Center
August TBD, 2010 - Memorial Hermann Wellness Center
October TBD, 2010 - Memorial Hermann Wellness Center


Course options include:

Sun. 9 a.m. - 12 a.m. - Session 1 (3 credit hours)
Sun. 9 a.m. - 4 p.m. - Sessions 1 & 2 (6 credit hours)


What Session(s) are you registering for?
Please mark the session(s) below.

Session 1 (3 credit hours) Cost: $90.00
Sessions 1 & 2 (6 credit hours) Cost: $150.00