Queen In Me online registration

You must fill out the form below. When the form is submitted it will take you to the payment page for you to pay your registration fee and first two weeks of tuition.

Divine LifeStyle Radio & TV Unplugged Registration Form

* Indicates required field

Parent's Name *

First

Last

Name of Child *

Date of Birth | Age *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Business Phone *

I understand the $50 deposit is non-refundable. *

Does your child have thier own laptop or ipad they can use for this course? *

Does your child have food allergies? Please list them. *

Submit