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Creative Learning § Creating Success

SECURE ONLINE REGISTRATION FORM FOR SEMINARS, WORKSHOPS, CLASSES


Please complete a registration form for each person attending a seminar, workshop or class.
Use your mouse and/or tab key to move to each input box.
Please provide complete information before you click the "Submit" button at the bottom of the page.

PRIMARY CONTACT

E-Mail Address  
We will e-mail a registration confirmation to this address.

Last Name      First Name  


For identification purposes, please include the Date of Birth of the Attendee (mm/dd/yyyy):
 

Telephone number, area code first     Extension  

ATTENDEE IF NOT THE PRIMARY CONTACT

Last Name      First Name  

Organization or Company  

Address     Suite/Room Number  

City     State       ZIP Code  

SEMINAR, WORKSHOP, CLASS TITLE

Start Date
(mm/dd/yy)

Cost

TOTAL:

PAYMENT INFORMATION

VISA MASTERCARD DISCOVER AMERICAN EXPRESS

Credit Card Number:  - - -   Expiration Date: (mm/yy)

Name On Card: 

Amount to be Charged:  $ .   Send Email Receipt?

I authorize the Arapahoe Community College Workforce Training to charge my credit card account for the amount above. I understand that registration is only confirmed when the card is accepted.

Your Name:     Date:  

REFUND POLICY

Classes at Arapahoe Community College Parker Campus
To cancel or reschedule a class, call 303.734.3701. Cancellations received at least three business days before the first class will receive a full refund. Students who cancel less than three business days before the first class may reschedule at no additional cost, but no refund will be issued. Tuition is fully refundable if we must cancel the course for any reason.

Cancelled classes will be wait-listed.

For corporate discounts or assistance with our Registration Form please call 303.734.3701.

 

E-mail: workforce@arapahoe.edu