ScarWork Class - Venmo or Check Form

Interested in joining one of Molly’s ScarWork classes, but want to pay in installments via Venmo or Check?

Please fill out this form and follow the steps on the next page to complete registration.

Name

First Name

Last Name

Email

Phone

(###)

###

####

How would you like to pay?

Venmo

Check

Are you interested in a payment plan?

Yes

No