Please type or print legibly. This information will be used to maintain your student records.
___________________________________________________________________________________
LAST NAME FIRST NAME MI
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PREVIOUS NAME, IF APPLICABLE
___________________________________________________________________________________
EMPLOYER OR ORGANIZATION TITLE
___________________________________________________________________________________
BUSINESS ADDRESS
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CITY STATE ZIP CODE
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WORK PHONE ALTERNATE PHONE NUMBER
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E-MAIL
Register online at www.cviog.uga.edu/planning-and-zoning-training (credit card payment only)
or
Mail the completed form with check made payable to The University of Georgia to:
Carl Vinson Institute of Government
The University of Georgia
GTED Registrar
201 N. Milledge Ave.
Athens, GA 30602-5482
(FEI 58-6001998)
Payment of fees must be received to be enrolled in the training.
Questions: Caitlin Dye
caitlindye@uga.edu; 706-542-0505
April 14, 2021
Course Registra
tion Form | Course #
0097-005
PLANNING AND ZONING 101 | THE BASICS
Planning 101
9am-4pm
UGA Gwinnett Campus
2530 Sever Road
Lawrenceville, GA 30043
April 14, 2021
$190/person
CANCELLATION AND REFUND POLICY
Written notice of cancellation must be dated no later
than
March 31, 2021 to receive a full refund of
registration fees. Written notice dated from April 1-April
6, 2021 will be assessed a 25% administrative fee. No
refunds or credits will be issued for written cancellation
requests that are dated April 7, 2021 later. Registrants
who fail to attend, cancel, or send a substitute will be
liable for the full registration fee. Substitution of
participant is encouraged over cancellation. To cancel
registration or send a substitute, please e-mail
notification to Caitlin Dye at caitlindye@uga.edu.