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The Duncan Connection Class Registration
Thank you for being a part of the The Duncan Connection community. Please use this form to register for the The Duncan Connection's programs.
The Duncan Connection is a project of CascadiaNow!.
Student Name
*
First Name
Last Name
Class Resgistration Amount - sliding scale depending on annual household income
*
Quantity
$
5
-
Annual income $500 - $8,500
0
1
2
3
4
5
6
7
8
9
10
10
$
10
-
Annual income $8,600 - $16,500
0
1
2
3
4
5
6
7
8
9
10
10
$
15
-
Annual income $16,600 - $24,500
0
1
2
3
4
5
6
7
8
9
10
10
$
20
-
Annual income $24,600 - $32,500
0
1
2
3
4
5
6
7
8
9
10
10
$
25
-
Annual income $32,600 +
0
1
2
3
4
5
6
7
8
9
10
10
Payment notes
*
Leave us a brief note to let us know which programs/months you are paying for.
Parent/Guardian Name (if applicable)
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Email
*
Phone
*
Add 3% to my total amount to help cover the payment processing fees.