UTS Course Registration Form
PRE - COURSE REGISTRATION

All students must pre-register by submitting the required $35.00 US$ or full tuition fee with a copy of  this form 
for each course they wish to attend not later than sixteen (16) days prior to course start date.  
                                                    (please print information clearly.)

Course Location:______________________________________________________________

Course Date:      ______________________________________________________________

Course Name: (please check one)

q Track Aware                                      q Tracker I

q Train the Trainer                                q Tracker II                    q Signcutter

Students Name:  ______________________________________________________________

Mailing Address:______________________________________________________________

City:                    _______________________________________________________________

State/Prov:         _______________________ Zip Code/Postal Code:_____________________

Phone #:             (_____)__________________ Group/Unit/County: _____________________

 

Present UTS Certification Level     (please check one)

q New Student                                       q Novice                                       q Track Aware

q Tracker I                                             q Tracker II                                   q Signcutter

 

qNon Refundable Deposit Enclosed     $___________________________

qTuition Fee Enclosed                          $___________________________

Note: Registration fees apply only to course tuition. Additional logistical costs, i.e., food, lodging, or other provided either by UTS or the course sponsor will be charged separately, consult with the listed contact person for these charges.
Please pre-register. Students pre-register by completing this form and forwarding it with the indicated deposit or entire tuition fee to: Linda Balzer, 4665 SE Booneville Dr., Corvallis, OR 97333
NO FEES WILL BE CARRIED OVER TOWARDS ANOTHER CLASS.

All moneys must be paid in US dollars.  Checks or money orders made payable to UTS.