VYIBA Registration Form

If you prefer to download the registration form, click here. Please fill it out and bring it with you to your first class. 

***We are not currently accepting online tuition payments. Please bring your $30.00 registration fee to the front desk before your first class. We accept cash or checks, made payable to Viktor Yeliohin, IBA. Thanks!!

Student's Name *
Student's Name
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Parent/Guardian Phone 1 *
Parent/Guardian Phone 1
Parent/Guardian Phone 2
Parent/Guardian Phone 2
Student Birth Date *
Student Birth Date

 

Click here to download our Release Form.