| Directions for filling out the registration form:
1. Print a blank copy of the form,.
2. Fill in the blanks in ink, and
3. Mail with payment to the Options address provided on this page.
OR
1. Type in your response directly using your computer,
2. Print the form, and
3. Mail with payment to the Options address provided.
Note: This registration form is for Community Education/Options only.
Click Here for Printable Version Fall Term 2008
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Course #/Section
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Course Title
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Day
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Time
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Fee
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TOTAL |
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Student Name:____________________________ Are you currently attending CSU? _______ Address:________________________________________________________Apt:_________ City:______________________________________________ State_______Zip:___________ Has your address changed?______ Previous Address:_________________________________ If minor, parent’s name:______________________ Is this your first Options class? _________ Day phone:_____________________________Evening phone:_________________________ Master Card #:________________________________Expiration Date:________________ Visa Card #: _________________________________ Expiration Date:________________ Discover Card #:______________________________Expiration Date:________________ Name on Card:_______________________________ 3 Digit Code:___________________ If I decide to withdraw from the above class(es), I must notify you before the first class meeting. I understand that I am voluntarily engaging in activities offered under the Options Program and in so doing assume all risk of injury, illness, damage, or loss that may be associated with such activity. Signature:_________________________________Date:_________________________ |
