Registration Form for State Competition

Personal Information

First Name:
Middle Initial:
Last Name:
Job Title:
Name of School :
School Street Address:
City:
State:
Zip:
Day Phone:
Email Address:
Name of Local Newspaper:
School District:

Registration Fees
Registration Fee:	$75.00

Payment
A valid credit card or check is required for payment.

Cancellation Policy
Refund requests must be made in writing to Continuing Education dcereg@mail.ucf.edu no later than five business days prior to beginning of the course and will be issued, minus a 25% administrative fee. Refund requests received after deadline will not be honored. If you are not able to attend, a substitute may attend in your place. The name of the substitute must be emailed to dcereg@mail.ucf.edu. If you do not attend the program and do not submit a written refund request, the University of Central Florida will retain all fees. The University of Central Florida is not responsible for any change / cancellation charges assessed by airlines, travel agents, hotels or other similar vendors.

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