Westminster Continuing Education Summer Session Registration Form

Fields marked with an asterisk (*) are mandatory

*I am a:
 Returning Registrant
New Student
*Westminster Graduate
 Yes, Class of
No

Contact Information
Salutation:
 Mr.
Ms.
Last Name:
First Name:
Middle Initial:
Street Address:
Apt. No.:
City:
State:
Zip:
E-Mail:
Home Phone:
Work Phone:
Cell Phone:

Registration Information
*Credit?
 For Credit
Non Credit
Voice Part
 Soprano I
Soprano II
Alto
Tenor
Bass/Baritone
Seminars:
 Week 1: June 22/23 - 27/28:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
Week 2: June 29/30 - July 4/5:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
Week 3: July 7 - 11:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
Week 4: July 14 - 18:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
Week 5: July 21 - 25:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
Week 6: July 27 - August 1:
On-Campus Housing Request: Double Room $275 (per week) Single Room $375 (per week)
*Payment Method:
 Please have the staff call me to confirm and I will pay with Visa or Master Card over the phone
Best time to contact:
Best number to call:

I will put a check in the mail Payable to Rider Univeristy Office of Continuing Education


Tuition and Fees
(Required once per academic year, non-refundable and does not include Saturday seminars or audition programs)
Registraion Fee - $50
Deposit per Seminar - $150 each
How did you hear about our programs?
Questions or additional information:

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