Lifelong Learner Seminar Registration Form

* = required field

Full Name (First and Last) Registrant #1*
Full Name (First and Last) Registrant #2, if registering as a couple.
Home Address*
Home City*
Home State*
Cell Phone (We may text you if class gets cancelled!)
Email Address*
Please read this carefully. Please register for seminar(s) below by ranking them First Choice through Fourth Choice. You can only have one first choice and one second choice and so on (no duplicates please)... You must complete each Choice Section, First through Fourth, using the appropriate response button for each. Class size is limited to thirty-two (32) spots. If there are more than 32 requests for a particular class, a lottery drawing will determine the class list. If you sign up as a couple, you will always be drawn together. Applicant names not drawn will be placed in another class according to their ranked choice(s).
First Choice*
Second Choice*
Third Choice*
Fourth Choice*
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Tarbaby
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Antlion
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