REGISTRATION FORM FOR LIFELONG LEARNING

Pre-registration is required for all classes.

NAME:_____________________________________________________________

PHONE:__________________________(H) ____________________________(W)

_________________________(Cell)

MAILING ADDRESS___________________________________________________
___________________________________________________

EMAIL ADDRESS:___________________________________________________

NAME OF CLASS:___________________________________________________

LOCATION OF CLASS:_______________________________________________

DATES OF CLASS:__________________________________________________

TIME OF CLASS____________________________________________________

FEE:__________ (REFUNDS ARE GIVEN ONLY IF THE CLASS IS CANCELLED)

(Make checks payable to: Lifelong Learning)

Please print this form and return your registration form and fee to the attention
of the program's facilitator: Lifelong Learning at Sullivan Center, 206 Wilkins Street, Greenville, SC 29605


Lifelong Learning at Sullivan Center • Greenville County Schools • 206 Wilkins Street • Greenville, SC 29605 • (864)355-6088 • FAX: (864) 355-6077	Thursday, February 09, 2012

REGISTRATION FORM FOR LIFELONG LEARNING

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