Name * First Name Last Name Email Address * Phone Number * (###) ### #### When is the soonest you would like to start classes? * -- Within a month In the next 2-4 months In the next 4-8 months Gender * -- Female Male Are you over 18? * -- No (you have to be 18 and over to attend) Yes Will you have a partner? * -- Yes No - I need a partner No - I need a partner and will pay for a smooth operator if necessary What class are you interested in? * -- Emotion-101 Emotion-102 (requires at least 6 weeks of an intro class from a local instructor) Emotion-103 (requires completing Emotion-102 first) Infinity (requires completing Emotion-103 first) What months of the year work best for you? * Please choose ALL months that could work January (football season) February March April May June July August September (football season) October (football season) November (football season) December (football season) What days of the week work best for you? * Please choose ALL days that could work Monday Tuesday Wednesday Thursday Friday Saturday Sunday For weekdays, what times work for you? * Please choose ALL times that could work No times work for me on weekdays 6:00pm - 7:00pm 7:30pm - 8:30pm 9:00pm - 10:00pm For weekends, what times work for you? * Please choose ALL times that could work No times work for me on weekends 10:00am - 11:00am 11:30pm - 12:30pm 1:00pm - 2:00pm 2:30pm - 3:30pm 4:00pm - 5:00pm What part of town do you live in? * Are you willing to travel downtown for classes? * No Yes - on week nights Yes - on the weekend Other Comments? * Thank you!