Printable Registration Form
Mail to: Warren/Forest Higher Education Council, 185 Hospital Drive, Warren, PA 16365,
or Call: 814-723-3222

All contact information is required in case of class cancellation and/or emergency.

Name: ______________________________________________________________________________________

Address: ____________________________________________________________________________________

City/State/Zip:_______________________________________________________________________________

Daytime Phone:____________________________________ Evening Phone:___________________________

E-mail Address:______________________________________________________________________________

Parent Names (require if student is under age 18):______________________________________________

Please provide Parent's Contact Information:

Address: ____________________________________________________________________________________

City/State/Zip:_______________________________________________________________________________

Daytime Phone:_____________________________ Evening Phone:__________________________________

Please register me for:

Course Title:_________________________________________________________________________________

Date/Time:___________________________________________________________________________________

Cost:_______________________________________ Book:___________________________________________

Amount Due:_________________________________________________________________________________

Payment by check must accompany registration to be enrolled.
Make check payable to Warren/Forest Higher Education Council. 

• How did you first learn about Hi-Ed? Circle all that apply.                                                   

    Web site     Billboards    Radio     Guide      Newspaper     Friend       Other

• How did you learn about the courses you are registering for? Circle all that apply.

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Please circle your answer:

• I want to receive Hi-Ed e-mail newsletters.	Yes	No
• Please add me to your mailing list to receive future Hi-Ed Schedules.	Yes	No

Thank you for your interest in learning at Hi-Ed!