Additional Instructions:
The disclosure of a member's personal information is generally prohibited under the Privacy Act of 1974 UNLESS express permission is obtained from the member. All persons whose names and contact information are utilized in the connection with this form expressly authorized the dissemination and publication of the information to members of the general public. The person completing this form acknowledges that the appropriate permissions have been obtained.
Times should be entered in as follows 7:00 PM or 7:00 AM. Please include the space in between. Additional information might include a description of a class that does not fit any description or standard code offered such as (BCN, ACN, etc.). Use the remarks block to indicate courses not on the list of classes.
Additional Notification Emails should be separated by a ";"