Registration Form
Team Building
3/23/17
8:30am-5:00pm

*  REQUIRED

* 1. Student Name

* 2. Date of Birth  MM/DD/YYYY

* 3. Job Title

* 4. Contact Information (REQUIRED)

* 5. Hourly Wage Code

* 6. Enter your initials and today's date in the box below to grant permission to the Community College Consortium for  Workforce & Economic Development & Member Colleges to share information including the transfer of grades, credits, and other academic records, where applicable, among other organizations and /or agencies/businesses that provide funding for this training.


* 7. CANCELLATION POLICY:
If I am unable to attend the class I registered for, I must notify the College at least seven business days prior to the class date. I understand that if I do not cancel within this time period, my employer or I may incur a $100 cancellation fee. I understand that I have the option to send an eligible participant to attend the class in my place. I will contact the College with the replacement's contact information within 48 hours before the class date.

Enter your initials below to acknowledge this cancellation policy.


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