Online Registration by Manager

Up to 5 enrollments may be made with this form.

Organization:  

Organization Approval Code:  

Address:  

City:  

State:     Zip:  

Authorizing Manager's Name:  

Manager's Email Address:  

Manager's Telephone Number:  

Submission of this form authorizes CFT to invoice the organization above for the enrollments listed below.

Name:     Last four digits of SS#:  

Student Work Phone:  

Student Work Email:  

Student Work Address:  

Student Personal Email if Applicable:  
(needed for Webcourses, Webinars and Online classes if taking at home)

Name of Class:  

Type of Class   

Course Number if applicable:  

Date of Class if applicable:  

Name:     Last four digits of SS#:  

Student Work Phone:  

Student Work Email:  

Student Work Address:  

Student Personal Email if Applicable:  
(needed for Webcourses, Webinars and Online classes if taking at home)

Name of Class:  

Type of Class   

Course Number if applicable:  

Date of Class if applicable:  

Name:     Last four digits of SS#:  

Student Work Phone:  

Student Work Email:  

Student Work Address:  

Student Personal Email if Applicable:  
(needed for Webcourses, Webinars and Online classes if taking at home)

Name of Class:  

Type of Class   

Course Number if applicable:  

Date of Class if applicable:  

Name:     Last four digits of SS#:  

Student Work Phone:  

Student Work Email:  

Student Work Address:  

Student Personal Email if Applicable:  
(needed for Webcourses, Webinars and Online classes if taking at home)

Name of Class:  

Type of Class   

Course Number if applicable:  

Date of Class if applicable:  

Name:     Last four digits of SS#:  

Student Work Phone:  

Student Work Email:  

Student Work Address:  

Student Personal Email if Applicable:  
(needed for Webcourses, Webinars and Online classes if taking at home)

Name of Class:  

Type of Class   

Course Number if applicable:  

Date of Class if applicable: