Citizen Planner Jackson County Classroom Program

Register Groups Here

Required fields are indicated with an asterisk (*)

Organization Contact Information

* Organization/Unit of Government

* Responsible Contact

* Address

Addt'l Address

* City

* State

* Zipcode

* Phone Number

* E-mail If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.

Participant Information

* Participant 1

Participant 1 - Phone Number

Participant 1- Email Address

* Participant 2

Participant 2 - Phone Number

Participant 2 - Email Address

* Participant 3

Participant 3 - Phone Number

Participant 3 - Email Address

* Participant 4

Participant 4 - Phone Number

Participant 4 - Email Address

Participant 5

Participant 5 - Phone Number

Participant 5 - Email Address

Participant 6

Participant 6 - Phone Number

Participant 6 - Email Address

Participant 7

Participant 7 - Phone Number

Participant 7 - Email Address

Participant 8

Participant 8 - Phone Number

Participant 8 - Email Address

Participant 9

Participant 9 - Phone Number

Participant 9 - Email Address

Sessions

* All of the people registered above will be attending the Citizen Planner Jackson County Classroom Course

* Number of Participants Registered Above ($225.00) Please type in the number of people you have registered. The cost is $225 per person. The system will automatically calculate your price at completion of registration.

Special Dietary Needs: If you indicate an allergy, please specify if it's ingested or airborne. Please provide as much information as possible about your restrictions so that we can appropriately meet your needs.

How did you learn about Citizen Planner?

* How did you learn about Citizen Planner?

If other source, please identify:

Photo/Audio/Video Release

I authorize Michigan State University to record my image and voice and give Michigan State University and all persons or entities acting pursuant to MSU's permission or authority, all rights to use these recorded images. I understand that said images will be used for educational, advertising and promotional purposes in all conventional and electronic media, and any future media. I also authorize the use of any printed material in connection therewith. I understand and agree that these images and recordings may be duplicated, distributed with or without charge, and/or altered in any form or manner without future/further compensation or liability, in perpetuity.

* Please Indicate your authorization

Contact Information

For more information, contact Citizen Planner at cplanner@msu.edu