Registration Form

Valerie Johns, Specialized Trainer

SEND PAYMENT AND REGISTRATION TO:

Valerie Johns

P.O. BOX 20502

Minneapolis, Minnesota 55420

 Handicap Accessibility and Convenient Parking Available.

New Policy! Registration must be received 3 days prior to training along with payment in order to receive materials and certificate of completion. Limited seating

 S.O.S is equipped to receive payment by Check, Cash or Venmo (listed under the tab of website)

S.O.S Registration Form: 

NAME: ______________________________________________________________________________

HOME ADDRESS: ______________________________________________________________________

CITY AND ZIP CODE:____________________________________________________________________

PHONE NUMBER/CELL PHONE:___________________________________________________________

Register for Classes:

Date:__________________Class Topic:    ___________________Class Fee:____________

Date:__________________Class Topic: _____________________Class Fee: ____________

Date: __________________Class Topic:_____________________Class Fee:_____________

Date: ­­­­­­­­­­­­­­___________________Class Topic:_____________________Class Fee:______________