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All of Fairborn

GovOps101 Online Registration


Online registration for the Government Operations 101 Class


Name:  

Address: 

City: 

Home Phone: 

Cell Phone: 

Email Address: 

Occupation: 


I agree to release any and all persons employed by the City of Fairborn and its affiliated institutions, its officers, executives, and employees, individually and in their official capacities from any and all liability that may arise from my participation in the Government Operations 101 Class. 

Terms of Acceptance and Signature
I, the applicant for this registration form, warrant the truthfulness of the information provided in this application.

Electronic Signature

Date


     I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.