REGISTRANT PROFILE
 

   Please enter the requested profile information for the person registering for the course.

   * denotes a required field


 
 *
 *
 Last Name titles such as Jr, II, PhD
 If applicable

Home Address

 *
 Apt./Suite or additional address details
 *
 *  Enter 0 for non US addresses without State
 *  Enter zero for non US addresses without postal code
 *

Billing Address

Same as: 
 Apt./Suite or additional address details
 Enter 0 for non US addresses without State
 Enter zero for non US addresses without postal code

Mailing Address

Same as: 
 *
 Apt./Suite or additional address details
 *
 *  Enter 0 for non US addresses without State
 *  Enter zero for non US addresses without postal code
 *

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 *
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  Adult District Resident:
(Students are between the ages of 18 and 59 and must reside in New Bedford, Dartmouth or Fairhaven) *
  Adult Non-District Resident:
(Students are between the ages of 18 and 59 and reside outside of district)
  GNB Faculty and Staff:
GNB Faculty and Staff
  Senior District Resident:
(Students must be at least 60 years of age and reside in New Bedford, Dartmouth or Fairhaven.) *
  Senior Non-District Resident:
(Students must be at least 60 years of age and reside outside of district.) *

* Proof of residence and age will be confirmed on first night of class. Bring valid ID.

  Summer School - DHS Student:
  Summer School - FHS Student:
  Summer School - GNBVT Student:
  Summer School - Out-of-Distric:

For new accounts, add User Name and Password.

Password Requirements:
* From a minimum of 8 to a maximum of 15 characters - case sensitive
* Special characters allowed: !#$%&()*+,-./:;<=>?@[\]^_`{|}~

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