UAM Community Education Registration Form

Student’s Name:

Birth Year:

Parent or guardian (if student is a minor):

Address: City: State: Zip:

Email address: Phone: Alternate Phone:

How did you hear about this course?

Total: $

Registration and Refund Policy

Students are not officially enrolled in a class until registration fees have been paid. Registration will be voided after three days if payment is not received. If a student wishes to withdraw from a class, requests for refunds should be made at least three (3) business days prior to the first class. UAM reserves the right to cancel a class due to insufficient enrollment. If a class is cancelled for any reason, refunds are issued automatically.

Methods of Payment

Cash, check, credit and debit card payments are accepted.

Cash and checks are accepted at our office in Suite 104 of the Administration Building or you may mail your payment to:

University of Arkansas at Monticello
Department of Community Education
P. O. Box 3520
Monticello, AR 71656

If paying by credit card, please stop by or call the Cashiers Office at 870-460-1043.

Remember, your registration is not complete until fees have been received!