Fees: Six Week Class - $85   

Registration Deposit: Due to the limited space available, all class and workshop registrations require a deposit of $30 at the time of registration. The balance of your class fee can be paid on the first night of class. The registration deposit can be paid by credit card at the time of online registration by completing the deposit portion of the registration form. *All other forms of payment for the registration deposit must be received within 24 hours of your online registration. 

Class Cancellation: The $30 registration deposit is non-refundable.  If you are unable to attend your scheduled class or workshop, cancellation notices must be received by Miss Pole 72 hours prior to your scheduled start date. If cancellation notice is not received 72 hours prior to your scheduled start date, you will be charged the remaining balance of the class fee.

First Name:

Last Name:

Address:

City:

Zip Code:

State:

Evening Phone:

Email:

Studio Location:

Madison

Class Name:

Start Date:

Start Time:

10 am 11 am 12 pm 5 pm 6 pm 7 pm 8 pm

Credit Card:

Visa MC Discover

Credit Card #:

Amount of Payment:

$85.00 Full Payment $30 Deposit

Expiration Date:

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