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College Credit Registration Form

Complete form and send payment for College Credit to:
CSC Conferencing Office
1000 Main Street
Chadron, Nebraska 69337

27th Annual Excellence in Early Childhood Conference

REGISTRATION: Please place a mark next to the course for which you are registering.
  Dept. No. Crs. No. Sec. No. Call No. Credit Course Title Days Time Time
Undergrad FCS 440 99 10643 1 Current Issues in Early Childhood ARR ARR Moody
Grad FCS 540 99 10644 1 Current Issues in Early Childhood ARR ARR Moody


Race/Ethnic Category (optional reply)
American Indian/Alaskan Native
Asian or Pacific Islander
White, Non-Hispanic
Black, Non-Hispanic
Certification: I hereby certify that all of the above statements made by me are true and complete, and that I have not omitted any relevant information. I agree that I am obligated to pay the tuition and fees related to the classes listed above by the due date.

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