District 108 Tech Academy Registration Form

Make as many copies of the Registration Form as the number of courses you plan to attend ­ 

SUBMIT ONE FORM PER COURSE! 

· send form/s to the Tech Center. * 

Thank you!
Confirmation will be sent prior to the time the course begins. No confirmation will be sent if 
registration occurs less than 5 days prior to course (call to confirm 346-2795 or 346-4745). 
* You will be notified if alternate sections are added after a class is closed.
Registration Form
Technology Academy Staff Development Program 
Name _______________________________________ 

Assignment __________________________________ 

Home Address ________________________________ 

Social Security No. ____________________________ 

 Building ______________________________ 

Telephone _____________________________ 

Home Phone ___________________________ 
Strand:_______________________________________ Course No.:____ Section: ____ 

Title: ___________________________________________________________________ 

Date: _________________________ 

Time: ________________________ 

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