Event Registration - Back to Work or School

Please complete all required fields on the following registration form.

Event Registration Information

Please complete this form fully. 

Credit Card Information
Enter numbers only, no spaces or dashes.
Security Code Location on Credit Card
Usually the last 3-4 digits in the signature area on the back of the card.
Billing Name and Address
Enter the name as shown on your credit or debit card, and the billing address for this card.
Women and Children Class Information

Kennedy Employees - Please enter your employee number to receive the employee discount.