Lessons Registration Form
Please return this form by the Wednesday before the tournament to avoid a $5 late charge.

Student's Name: __________________________________________

Address: ________________________________________________

Phone: _________________________________________________

E-mail: _________________________________________________

School: _________________________________________________

Grade: __________________         Age: _______________________

Total Amount Enclosed: ____________________________________

Send this completed registration form and check to:

Sal Chehayeb   P.O.  Box 99432    Troy, MI  48099-9432

Questions?  Please contact Sal at (248) 219-5624.