Glendale University Registration Form
Fields marked with an * are required.
Name
*
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Physical Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Contact E-mail
*
Best Contact Number
*
-
Area Code
Phone Number
Your City Council District
(find online: https://www.glendaleaz.com/your_government/city_council/district_boundaries)
Course
Please Select
Spring 2023 Glendale University
Additional Comments
Please confirm in order to submit registration:
*
I attest I am at least 18 years of age, a resident of Glendale or own a business located in Glendale, Arizona.
Program attendance:
*
I understand classes are held Wednesday nights between March 6-May 8, 2024, from 6 p.m. - 9 p.m. in a different City building each week. I must attend 8 of 10 classes to be recognized at the program graduation on the final night of class.
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