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Class Registration Form

For registration information please follow the new instructions.

Please print this form.

If you have questions, you may call (410) 955-7559. Registration is limited so please register early.

Name: (first, middle initial, last)	________________________________________________
Social security number:	__ __ __ - __ __ - __ __ __ __
Daytime phone:	__ __ __ - __ __ __ - __ __ __ __
Evening phone:	__ __ __ - __ __ __ - __ __ __ __
E-mail address:	________________________________________________
Campus Addresss:	________________________________________________

FAX: 410-955-0200 (for Free Classes registration only)

Reviewed June, 2008