Adult Continuing Education Course Registration

Adult Continuing Education Course Registration — Form Fields

This registration template includes 10 fields. Adults register for non-credit continuing education courses at community colleges or learning centers. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, required)
• Date of Birth (text, required)
• Course Name and Section (text, required)
• Course Start Date (text, required)
• How did you hear about this course? (dropdown selection, required) — options: Email, Website, Flyer, Friend or Colleague, Social Media
• Have you taken courses with us before? (multiple choice, required) — options: Yes, No
• Payment Method (dropdown selection, required) — options: Credit Card, Check, Cash, Payment Plan, Employer Sponsorship
• Accessibility accommodations needed (if any) (long text, optional)