Select File => Print... and click [ OK ] to print this form. Close this window to go back
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Name ____________________________________________________________________________________________
Address _________________________________________________________________________________________
City, State, Zip ________________________________________________________________________________
Home Phone ______________________________________________________________________________________
Work Phone ______________________________________________________________________________________
Email ___________________________________________________________________________________________
Class ___________________________________________________________________________________________
[ ] I am enrolling in a second Inward Bound class.
Where did you hear about Inward Bound? __________________________________________________________
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Make checks payable to, and send to, the individual teachers. If enrolling in two classes taught by two different teachers, send a check for the appropriate amount to each teacher.
Please assume you are registered unless notified.
| Janine Bennett 2541 Londonderry Rd. Ann Arbor MI 48104 |
Barbara Brookens-Harvey 1297 Newport Rd. Ann Arbor, MI 48103 |
| Cathy King 11811 Beech Rd. Brooklyn MI 49230 |
Martha Laatsch 612 Wesley Ann Arbor MI 48103 |
| Marlene McGrath 735 Fountain St. Ann Arbor MI 48103 |
Lynette Smith 1304 Iroquois Pl. Ann Arbor MI 48104 |
| Roddy Wares 2577 Newport Rd. Ann Arbor MI 48103 |
Dorothy Ann Coyne 1915 Geddes Ave. Ann Arbor MI 48104 |