Day of Remediation Registration Form

*required fields. Please fill out the fields with accurate information.
First Name*  
Last Name*  
Telephone Number*  
Email Address*  
Zip Code*  
Sex* Female     Male  
Date of Birth*
(month/day/year)		  
Reason for registering*  
How/where did you hear about Helicon, Inc.?
  More dates available soon!  

I understand that:

if I arrive later than the indicated start time of the course/class/workshop for which I’ve registered, I will not be admitted;

the use of electronic devices (e.g. cell phones, ipods/mp3 players, laptop computers, etc.) is not permitted under any circumstances during class time; and that if I do use one of these forbidden devices I will be expelled from the class;

if I register for a Course/Class and cannot attend AND do not email Helicon, Inc. to that effect, I will not be allowed to register for another Course/Class for one month.

              

Registration Support: