Center For Human Development

COURSE REGISTRATION FORM — SPRING 2012

* 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?                                                                                                                  

_______________________________________________________________________________

 

  • There is a late fee of $25.00 for registrations received AFTER September 1, 2011.
  • Maintaining Matriculation Fee: $50.00. Attention students not registering for courses this semester: Please send in this registration form with your check in order to maintain matriculation.
  • Make checks payable to: Center for Human Development
  • Mail to: Joan Antelman, Registrar/Administrator
    515 East 14th Street, 8-H
    New York, New York 10009