Registration Form_2

Thank you for your interest in the adult section of "Who We Are & What We Dream: Comparative Science Fiction"!

After you hit "submit" below, I will send you an email confirming receipt of your registration and supplying payment information. (I do not take PayPal, but I do take Venmo, Zelle, and checks.) Payment must be received within 5 business days of the confirmation email.

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Student Name *

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Student Age and Grade (as of Spring 2021) -- if relevant (else "adult") *

Parent Name -- if relevant *

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Parent/Adult Email *

Information the instructor should know about this student. *

Class for which I am registering *

"Who We Are & What We Dream: Comparative Science Fiction" (online) -- student age 16+ "Who We Are & What We Dream: Comparative Science Fiction" (online) -- adult

I acknowledge that all materials distributed for this class, except the literature itself, is the property of Learning Outside the Box and may not be used or shared in any circumstance, educational or otherwise, without the express written permission of Christine Keen.

I also understand that a full refund is provided only if class is canceled due to insufficient enrollment. Otherwise, the registration fee is non-refundable unless the class is fully enrolled and another student can be found to fill your spot. Registration is complete and your spot is reserved only when payment has been received.

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Class Registration Form