First Name: MI: Last Name: Address Line 1: Address Line 2: City: State: Zip: Phone: Cell Phone: Email: Parent Email: Birth Date: Permit # (optional): How did you hear about us? Super Coupons Friend Google Search Engine TV ad Radio ad Newspaper Please be specific. Example: John Smith Choose a LOCATION: Andover Office - 26 Chestnut Street, Andover MA North Reading High School Reading Office - 580 Main Street, Reading MA Stoneham High School Wakefield High School Wakefield Office - 101 Albion Street, Wakefield MA Weekend Session Andover Office - 26 Chestnut Street, Andover MA Weekend Session Reading Office - 580 Main Street, Reading MA Weekend Session Wakefield Office - 101 Albion Street, Wakefield MA Weekend Session Wilmington Office - 474 Main Street, Wilmington MA Wilmington Office - 474 Main Street, Wilmington MA Choose a SESSION: Click if billing address is same as above Billing Address City/Town State: Zip: Program Fee Amount to Charge: Pay in full. $250 non-refundable deposit (balance due by first class). REQUIRED: Contract read and agreed to. Click for printable contract. Signed copy must be turned in the first day of class to complete enrollment. This is a secure website.