Registration: Use this form to enroll in continuing education courses. Use a separate form for each individual enrolling. The registration deadline is one week prior to the start of class. Payment is due at the time of registration.

Registration Form

Mail 801 Campus Drive Garden City, 67846 Fax (620)276-9797
Phone (620)276-9647 Email B&I@gcccks.edu PersonalEnrichment@gcccks.edu

Fields marked with  are required.

Name Birth Date (MM/dd/yy) Home Address City
State
Zip Code


Business Address City
State
Zip Code
Social Security Number GCCC ID# Home Phone Cell Phone Email Address
(we will only use it to contact you)


Business Phone Business Email


Race/Ethnicity

Gender

Where did you hear about this class?



Please enroll me in:
(The first line is required)
Course # Course Name Course Date Cost
Total Cost:


Method of payment

Cancellation: If you register for a class and cannot attend, call (620) 276-9647 at least two business days prior to the class to receive a full refund. If a class is changed or cancelled, we will notify you. We reserve the right to cancel, combine or divide classes, to change the time, date or place and to make other revisions as necessary, and to do so without incurring obligation.

801 Campus Drive ·  Garden City, Kansas 67846 ·  620-276-7611 ·  1-800-658-1696