New students and students previously enrolled may register by
completing the Registration Form and mailing it with their payment to:

Rick Richardson, 7752 Jubilee Dr.
Niagara Falls, Ont.
Phone (905) 354-8053

Lessons will begin August 22, 2005 and end July 14, 2006

Registration will be on a first come first serve basis and fee is paid in advance for the first block of ten lessons. Once enrolled for the student should re-register for each additional block of ten lessons. At the end of the year, students should register for the exact number of lessons required to take them through to the middle of July. Once registered fee will not be refundable.

Name:____________________________________________________________

Address:___________________________________________________________

City:______________________________________________________________

Postal Code:________________________________________________________

Theory and/or Practical:_______________________________________________

Age:______________________________________________________________

Parent or Gaurdian:__________________________________________________

Signature:_________________________________________________________

Make payments payable to:
Rick Richardson
7752 Jubilee Dr.
Niagara Falls, Ont.
L2G 7J6