CLASS REQUEST FORM

NEW CLASS REQUEST FORM

BRPAA classes are currently full, but we can offer additional classes next semester if there is enough interest.
To request a new class for spring semester, please complete the form below.
We will contact you if enough students are interested in the class you have requested.

Student Information

* Indicates required field

Student's Name *

First

Last

Age *

Birthdate *

Parent's Name(s) *

Cell Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you prefer a class on Thursday at 3:45 pm or Saturday at 11:00 am? *

Class Requested / Previous Experience *

Submit