Check the "Physcial Textbook" box if you would like to add a hard copy book for $45 (shipping included).
Check the "Married Student Discount" for $9.50 if your spouse is taking the same course and provide spouse's name below.
- I authorize the group leader named above to receive my academic records for this course.
- I have read and comply with the Code of Conduct as found in the Catalog and the Student Handbook.
- I have read the information on the back of this sheet. I understand my rights and obligations.
- I have received a copy of this form as proof of payment. (church based student only)
- I understand that whoever paid for this course is entitled to a refund should I withdraw or cancel my enrollment.