1.To enter to win the one free class session, please provide us with the contact information requested below. The drawing will take place after the deadline of September 1, 2015, for survey responses. Should you be the lucky winner, we will contact you!

Name:

Mailing Address:

City:

State:

Zip code:

Phone Number:

Email Address:

2.My contact information may be used to receive information on lifelong learning course offerings.

Yes

No

3.My contact information may be used to get in touch with me for further information on my responses to this survey.

Yes

No