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PLEASE NOTE:
Your Registration is not complete until we receive payment.
Please call us within 24 hrs to provide us with your credit card information.
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Registration Form

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Name:
Address:
City: State: Zip:
Phone (with area code please!) Day: Night:
E-mail address (must provide to receive receipt):
Course #TitleFee
1) $ 
2) $ 
3) $ 
4) $ 
5) $ 
Have you ever taken a communiversity class? Yes No
I am presently a UMKC Student
(Pay ONLY material fees)
Student ID #: 		Class Fee Total $ 
Discount $ 
Donation $ 
Registration Fee $ 
(due once per person per catalog)
Total Sent: $ 

COMMUNIVERSITY LIABILITY WAIVER (You must agree to register)

I understand that Communiversity is not an academic program of the University of Missouri-Kansas City, it's conveners are not employees of Communiversity or UMKC. Communiversity makes no representation as to, nor is responsible for, class content, manner of presentation, time, or location. The undersigned releases the Curators of the University of Missouri and Communiversity staff from any liability for personal injury or property damage sustained while attending or otherwise being involved with classes offered through Communiversity.
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You will be notified if the class is full or if there are any schedule changes.