Zoom Class 4

First Name

Last Name

Email Address

Email Address (enter a second time)

Country of Residence

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Do you have enough time to dedicate to this program? It requires up to 16 hours per week for 12 weeks. This will include lecture time, study time and practice time.

Have you practiced with Rusty Wells before? (if so, please describe)

Anything else you want to tell us? (limit 75 words)