Online registration form – Spring 2024 "*" 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:* Poetry 101 “The Worldly Philosophers” – Still Relevant ($50 Tuition + $13 Course book fee) “Everyone Loves His Illusions” – Films of Woody Allen History and Current State of U.S. Policing Quantifying Chance Democracy Awakening The Age of the Renaissance ($50 Tuition + $13.00 Course book fee) The Irish Literary Hit Parade Part 1 – 1904-1966 Focus on Northfield – A Closer Look at the Built Environment Fixing American Health Care Braiding Sweetgrass – Indigenous Wisdom, Scientific Knowledge, and the Teaching of Plants, By Robin Wall Kimmerer To Infinity and Beyond User’s Guide to the Immune System Making Health Care Desicions – Am I Sure I Want That? The Intersection of the Theater, Religion, and Politics – Shifting Agendas 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 OptionNameThis field is for validation purposes and should be left unchanged.