Hello and Welcome,
To the:
Private Enrollment Application Page

All interested students must fill out Completely and submit!

Your card will be charged for one of the prices listed below
for the First class or month fee's.

If you don't feel safe on the internet, please call me at 816-728-7360 and have your Credit Card ready. We will then go over time and prices.

OR 

Please fill out all the info in the form.
I will call you or E-mail you back with in 24 hours.

Fill in the box on what price you want. You can do either, $100.00 an Hour or $250.00 for 6 - 1/2 hour classes.

We will set the time when we talk on the phone.

Thank You,
Steve Crawford

*Full Name
*Full Address
*Home or Cell Number
E-mail Address

Private Class Fees (type in one price)
$100.00 an Hour or $250.00 for 6 - 1/2 Hour Classes

Credit Card Information
*Name of the Credit Card you will be useing?
*Card Number
*Expiration Date
*SN Number on Back
Any Questions? (type here)