Center For Human Development
COURSE REGISTRATION FORM — FALL 2010
* USE THIS FORM ONLY FOR REGISTERING.
To attend classes you must register officially. (Please do
not contact instructors, unless so directed in the course description.)
NAME
ADDRESS
CITY STATE ZIP CODE
PHONE E-MAIL
How did you hear about us?
_______________________________________________________________________________
• You may register for courses as soon as you receive this form. Registrations received after 9/3/10 must be accompanied by a $25 late fee. • Make checks payable to CHD and mail to 16-21 Split Rock Rd., Fair
Lawn, NJ 07410 |