COS Registration

Mission Valley COS Class Registration

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Which class are your registering for? *

Tuesdays: November 7, 14, 28 and December 5, 12 Contact me with information for future classes

Do you have any dietary restrictions we should be aware of? *

Do you have any special needs for learning in a classroom? If so, please indicate what your needs are. *

How did you hear about us? *

Do you live on the reservation? *

Yes No

Please list the number of children you have *

Child care, as available, will be provided for each series. Please list the number of children you would be bringing with you and the ages below. Please include any special needs or allergies as well. *

Submit