Register OnlineOnline Registration Student Name/ Parent Name*:* First Last Provide Child's Name (If Applicable):* First Last Provide Child's Age (If Applicable):*Select Class 1:*Valentine Cookie Class for AdultsFebruary Youth Art WorkshopGet Fit with Aquacise!Select Class 2:Valentine Cookie Class for AdultsFebruary Youth Art WorkshopGet Fit with Aquacise!Select Class 3:Valentine Cookie Class for AdultsFebruary Youth Art WorkshopGet fit with Aquacise!Select Class 4:Valentine Cookie Class for AdultsFebruary Youth Art WorkshopGet Fit with Aquacise!Select Class 5:Valentine Cookie Class for AdultsFebruary Youth Art WorkshopAddress Line 1* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Payment Method* Check Credit Card None (select for classes that have no fee)Upon submission, you will be taken to a page where you may remit payment online via credit card. If payment is made by check, please send your name, address, and check to: Southern Arkansas University - Community Education 113 N. Jefferson Magnolia, AR 71754-9240.Comments
