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Welcome to Retirement Planning 101 at Weatherford College! This class is offered on the following dates:

Thursday April 5th, 6:30 PM  -or-  Thursday April 12th, 6:30 PM

Please complete the form below to reserve your spot in the course. After you hit "SUBMIT", you will be contacted by the college business office to complete course payment.

registration form for retirement planning 101

Name *
Street Address *
Street Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Date of Birth *
Date of Birth
Emergency Contact Phone *
Emergency Contact Phone
Will you be using any type of financial aid>
If yes, what type?
Are you Hispanic or Latino? (a person of Cuban, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
Please select the category or categories with which you most closely identify. *
Check as many as apply.
Please check one box: Are you a U.S. Citizen?
Please check one box:
How long have you resided in Texas? (years, months)
If you moved to Texas within the past 5 years, why? *
Country of birth:
Do you hold Permanent Resident status for the U.S.?
If yes, Visa Type:
Visa Issue Date:
Expiration Date:
Select Your Course Date: *
I would like to bring a guest free of charge: *
All applicants must read the Oath of Residency, Liability Release, and Refund Policy; and sign and date this application. • OATH OF RESIDENCY: I understand that information submitted herein will be relied upon by Weatherford College officials to determine my status for Texas residency eligibility. I authorize Weatherford College to verify the information I have provided. I agree to notify the Office of Student Services of Weatherford College of any changes in the information I have provided. • LIABILITY RELEASE: I release Weatherford College from all responsibility in case of an accident. Minors (under 18 years of age) must have a legal parent or guardian sign a consent/release form to be included with this registration form. • REFUND POLICY: I understand that no refunds will be made on or after the day the class begins. Yo comprendo que no habrá reembolso el primer dia de clase o despues del primer dia de clase. Type out your name below and click on the "submit" button, which will be recorded as your electronic signature. THE BELOW E-SIGNATURE CONFIRMS THAT ALL INFORMATION IS TRUE AND CORRECT. Information supplied on this application is required by federal or state agencies and is not used as the basis for admission decisions. An Equal Opportunity institution/equal access for the disabled. The Privacy Act of 1974 will be observed.