Online registration form – Fall 2021 "*" indicates required fields This online registration form can be used for individual students who are not seeking financial assistance. If you wish to register as a couple or request financial assistance, please complete the paper form.Student Name* First Last Student Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Optional: check if either of these applies This is my first CVEC class Please do not share my address, phone number, or email on the class list Course RegistrationCourses:* The Book of Revelation Revisited Tales of Travel Quantum Entanglement Welsh Culture Terrorism and Counterterrorism Conscience in Literature Jazz Appreciation When Irish Eyes Are Smiling- Cheerful Irish Stories Psychoactive Drugs, the Mind, and Society Theory of Word Puzzles Tone and Text and Musico-Poetic Synthesis Justice and Prosperity Sheldahl, Northfield, and U.S. Space Exploration Selected Issues in Law and the U.S. Supreme Court Visual Exegesis: Reading the Bible with Artists Optional DonationThose who feel able are invited to include a tax-deductible contribution. Actual expenses incurred by CVEC per course registration average about $83. You can enter any amount below, which will be added to your total charged. Total Credit Card*Card Details Cardholder Name CAPTCHAHiddenOptionFirst OptionEmailThis field is for validation purposes and should be left unchanged.