Registration Form

SPARK » Registration Form

Please print this page, complete the form and mail to the SPARK office.

Enrollment Form

Date __________________________
Name __________________________________ Telephone No. ________________________
Address _______________________________________________________________________
City _____________________________ State _______________ Zip ________________
Class Choices _________________________________________________________________
_______________________________________________________________________________

Annual Membership $40		$____________
Class Fees: Humanities - as noted in class descirption		$____________
Class Fees: Computers - $38 each		$____________
Text Book: as noted in class description		$____________
Parking tags: (if desired) $3 x ____ total # of days parking		$____________
Please make checks payable to SPARK/UMKC and mail to: SPARK/UMKC UMKC 51st Street Annex Bldg., Ste. 101 5100 Rockhill Road Kansas City, MO 64110-2499		Total $____________

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Name __________________________________________________________
E-mail address ________________________________________________

______ I would be interested in helping plan SPARK activities.
______ I would be interested in serving on the SPARK board of directors.
______ I would be interested in serving on a SPARK committee.

Circle one or more

Curriculum

Computer

Newsletter

Teaching

Publicity

Special Events

Parking Information
University regulations require everyone coming on campus on an irregular basis (like SPARK) have a parking pass. This includes those with handicapped parking. The fee is $3 per day for SPARK members. The permit enables you to park in any lot you choose.

The permit is a hang tag to be placed on the rearview mirror facing the front windshield. You will need one for each day you will be in class. There is also metered parking (75 cents per hour) and a limited amount of street parking.