REGISTRATION FORM for Noncredit Courses:
Have you applied and been admitted? If yes, use this form to register for noncredit classes.
Did you take noncredit classes last semester? If yes, use this form to register for noncredit classes.
Please print clearly. Complete and sign this form. ONLY ONE PERSON PER FORM. The form may be duplicated.
Do not mail cash. Check or credit card information will be accepted by U.S. mail or in-person. Make check payable to: “AHC
Community Education.”
You may submit completed form in form, mail via U.S. mail, fax to 805-352-1046 and send as an attachment to
For U.S. mail, send completed form to:
Allan Hancock College, Community Education, Bldg. S
800 South College Drive, Santa Maria, CA 93454-6399
For more information call 805- 922-6966 ext. 3209, call toll-free 1-866-DIAL AHC (342-5242) ext. 3209, or visit
Have you attended Hancock before? YES NO AHC Student ID: H _________________________
Legal Name (First Middle Initial Last) Birth Date (Month/Day/Year):
Mailing Address:
Home phone: Is this a mobile phone? YES NO
Alternate phone: Personal Email Address:
(if any)
Student Signature: Date:
CHECK. CREDIT CARD. Select one: Visa MasterCard Discover American Express
If paying by credit card and/or FAXING a registration form, all credit card information (below) MUST be completed.
Credit Card # Exp. D
ate Security Code:
Print Name on Card:
Credit Card Street Address (number only) and Zip:
Authorizing Signature: Total Fees (if any): $
REV 10-2020
For Instructor Use Only (required when selected class is full): I authorize this student to add my class.
Signature: Date: