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Program RSVP
Please use this form to register to attend a program at Augusta Hills LRCC.
If you have questions, please feel free to contact us at (260) 636-8000 or augustahillsprograms@gmail.com.

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Name *
Please register only one person at a time. If you wish to register another person for this program, please fill out the form again.
Program *
Please register for only one program at a time. If you wish to register for an additional program, please fill out the form again.
If on-going program, please indicate date(s) you plan to attend:
Are you a member of Augusta Hills LRCC? *
How did you hear about this program?
Comments and/or questions
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