Winter/Spring 2024 Class Registration

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Email *

Name: *

Select class from dropdown menu: *

Street address *

City *

Zip code *

Phone number: *

I agree to receive class information via text in addition to emails. *

Yes

Where did you hear about the class?

Will you be requesting Growing Futures childcare provider credits? (Not available for all courses.) *

Yes

Unsure

Under what role will you be taking the class?

Parent

Grandparent

Childcare provider

Foster parent

Other professional working w/children and/or parents

Other

Clear selection

Gender

Male

Female

Non-binary

Prefer not to respond

Clear selection

Race

Asian

Black/African Americna

Native American or Alaska Native

Native Hawaiina or Pacifice Islander

White

Prefer not to respond

Clear selection

Ethnicity

Hispanic/Latino

Non-Hispanic/Latino

Prefer not to respond

Clear selection

Age

18-29

30-59

60 years or older

Prefer not to respond

Clear selection

Individuals with disabilities are invited to request reasonable accommodations to participate in NDSU-sponsored programs and events. To request an accommodation(s), please contact Barnes County Extension Service at 701-845-8528 one week prior to class make arrangements or specify below.

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