Please enable JavaScript in your browser to complete this form.First student *FirstLastAge Second student ( if applicable )FirstLastAgeThird student ( if applicable ) FirstLastAge Email *PhoneMembership status: Our paid members are free, while non-member will have to pay a small fee below. We highly encourage you to become a paid member and sign up now by visiting https://www.beitsahourusa.org/join. Spaces are limited. Classes will start the week of January 15th, detailed info will be sent to registered students. I am a paid MemberI am NOT a paid memberStudent #: Students 5-7 are free. 1 student - $ 60.002 students - $ 100.003 students - $ 140.00Total Amount$ 0.00How would you like to pay?Pay Using Credit CardPayPal Transfer (beitsahourusa@gmail.com)Venmo Transfer (@BeitSahourUSA)Stripe Credit Card *CardName on CardSubmit