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Continuing Education Registration Form

Continuing Education Registration Form

Registration

Name(Required)

Student ID (if you are a new student, enter 0000)(Required)

School District (where you reside)(Required)

If School District isn't listed, please provide

Mailing Address(Required)

City(Required)

State

Zip Code(Required)

Phone Number(Required)

Email Address(Required)

Date of Birth(Required)

Classes

Please call with payment information within 24 hours to reserve your space. There is a one-time $5 record processing fee when calculating your total class costs.

CRN(Required)

Class Title(Required)

Cost(Required)

CRN

Class Title

Cost

CRN

Class Title

Cost

CRN

Class Title

Cost

Is your employer paying for your course/s?

How did you learn of our Continuing Education classes(Required)

Mailer

Email

Word of Mouth

Advertisements

Social Media

Would you like to receive email updates?

Students must be 17 years of age or older to take continuing education classes

Please Note: You will not be officially registered for your section until payment is received in full. If you do not call with payment within 24 hours, you will need to complete another registration form.

For Community Education questions and payment, call 610-359-5025. For Training and Certification program questions and payment, call 610-359-7344.
Hours of operation: Monday-Thursday: 8:30 a.m. to 7 p.m., and Friday: 8:30 a.m.-5 p.m.

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