Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your preferred method of payment? *

Credit Card (please note a link will appear after the Submit Button is clicked)

Check (please make check payable to GPC, PO Box 140636, Staten Island, NY 10314)

Which session would you like to participate in? *

Session 1

Session 2

Session 3

GPCA Refund Policy *

Yes, I have read the GPCA Refund Policy (link above)

Option 2