Senior Planet Registration Information

The information below is required for each registrant for Senior Planet classes. Feel free to collect this information in Library Calendar and submit a copy of the registered participant spreadsheet to [email protected]. Alternatively, you may also fill out the form below for each registrant.

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Participant Name *

First

Last

Contact information (phone, email, or both)

ZIP Code *

Which class did this person register for? Please enter the name and date of the class, and the class location. *

this person enter

Did this person opt out of communications from OATS? *

• Yes
• No

Submit