Co-Enrollment Form- credit card payment

City Extension Co-Enrollment: No Credit Repeats payment page

If you have taken a credit class the maximum allowable times and would like to repeat the class for no credit you can sign up though this on-line form using your Visa, Mastercard or Discover credit card. We do not accept American Express. If you have any questions, please email us: ccsf.extension@ccsf.edu
Only one student and one class per form. If you are registering for another person, you will need to submit a separate form with a different email address for that person.

Questions with a red star * are required, the others are optional.

You will need to provide:
- Your CCSF student ID number
- the course name and number CRN#
- instructor name
- number of units
- semester
Once you have completed payment you will be emailed a receipt. Please retain the receipt to show your instructor.

EXCEPTIONS: For all Art Classes, fill out the online form and we will reach out to your instructor for permission. If permission is not granted, you will be notified and issued a full refund.

Click here to register for access to the Fitness Center and Pool. Do not use this form for Fitness Center Semester Memberships.
Student Name*

First NameLast Name
Student E-mail*
example@example.com
Phone Number*
Co-Enrollment fees are based on the number of units.
The units for your class can be found in the schedule.

1.0 unit class = $105
1.5 unit class = $145
2.0 unit class = $165
3.0 unit class = $205
4.0 unit class = $250
5.0 unit class = $300
CCSF ID # (begins with W or @)*
Semester*
Course title and subject #*
5-digit CRN #*
Instructor name*
Do you need Canvas access?*

YesNoMaybe/ Not sure
I understand that I am enrolling in this class through City Extension. My participation will not be graded and I will not receive any credit from CCSF. I declare that I have take the course the MAXIMUM number of times through CCSF for credit, and I cannot repeat for credit.*

Agree
I understand that this workshop is not for credit and is not part of the Free City program.*

Agree
I understand that to sign up for an ART class, I must receive permission from the instructor. If permission is not granted, a full refund will be issued.*

Agree

Course fees *

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

City Extension Co-Enrollment: No Credit Repeats payment page