Registration Request Form

Please Print

Name ____________________________________ A# ___ ___ ___ ___ ___ ___ ___ ___

Department _______________________________ _____________________________________

Campus Address: __________________________ Email Address__________________________

Campus Phone: ___________________________ Campus Fax # __________________________

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Class Title ____________________________ Date _________________ Time ________________

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Please note:

We will send a confirmation to you once your registration is completed.

Walk-in registrations will be accepted as space allows, except for “7 Habits” and “Just be Fair.”