Fall 2014 Sampler Day Registration Question Title * 1. First Name Question Title * 2. Last name Question Title * 3. Will you be attending Sampler Day 2014? Yes No Question Title * 4. Email Address Question Title * 5. 5-digit Zip Code Question Title * 6. Which sample class would you attend at 10 a.m.? 3D Printing Boom How to Write about Crime Great Films Tai Chi CDL Introduction and Truck Tour Question Title * 7. Which sample class would you attend at 11 a.m.? Adobe Creative Suite Tai Chi Make-up for All Ages Screen Cuisine- Food in Film Health Programs Overview Question Title * 8. Which sample class would you attend at 1 p.m.? Italy: Exploring the Boot Ageless Grace Gunmen of the Old West Introduction to the French Language Question Title * 9. Please check all ways you heard about Sampler Day Email COD Continuing Education website COD Lifelong Learning website COD Sign COD Calendar of Events Local Media Friend Other (please specify) Question Title * 10. If you would like this survey to serve as your registration for the Sampler Day event and as your entry into the raffle, please indicate your full birthdate below (Sample: Feb. 14, 1950) Done