Course Day – January 11, 2020

    Date: Saturday, January 11, 2020

    Fee: $75.00 per person payable via credit card or Paypal account using this form. Fee is non-refundable unless event or course is cancelled.


    Community College of Allegheny County

    Boyce Park Campus

    595 Beatty Road

    Monroeville, PA

    Course Selection (required):
    You can only take one part and they must be taken in order (i.e., Part I before Part II).

    Part IPart IIPart IIIGraduate

    Your Full Name (required):

    Your Badge Name (required):
    The name you want others to call you (i.e., your first name).

    Your Address (required):

    Your City (required):

    Your State (required):

    Your Zip (required):

    Best Telephone Number to Reach You (required):

    Your Email (required):

    Your Rotary Club (required):

    Your District Number (required):

    Years in Rotary (required):

    Special Dietary Needs (required):

    We will contact you if "Yes". NoYes

    Terms and Conditions (required):
    Registration fee ($75.00) is non-refundable unless event or course cancelled.

    District 7305 Leadership is reimbursing District 7305 Rotarians $50 of their registration fee. Their procedure requires the participant to register, pay and complete the Course Day. Afterwards, the District will issue reimbursement to entity making payment (Rotarian, Club, etc.).

    I Agree To and Accept Terms and Conditions