DCA Class & Workshop Registration Form

You may register by                                                                                                                                         1) Mailing this form, along with payment to: DCA/20904 Northline Rd./Taylor, MI 48180; 2) Phone 734-287-6103; 3) In person, during office hours W-F, 10 am-4 pm.  

Name_______________________________________________________________________

Address_____________________________________________________________________

City/State/Zip________________________________________________________________

Phone (day)____________________________ Email__________________________________

Parent/Guardian Name if participant is under 18: _______________________________________

List Classes/Workshops below. In needed, use separate paper for additional classes.

Cancellations-If it’s necessary to cancel classes, the DCA will refund payment. Refunds-No refund after first class for classes.          Workshop refunds must be requested no later than one week prior to the workshop.