SBDC Class Registration Form - Summer 2019
This form is used to register for Lane SBDC classes.
-On page 1, please enter your contact information.
-On page 2, select the class/es you'd like to be registered into.
-On page 3, you'll find information on how to cancel registration for a class.

With the information you provide, Lane SBDC will register you into the LCC student registration system. You will receive a confirmation email at the address you provide below in 1-2 business days with your student ID (L#), information on the Refund/Drop Policy, as well as how to pay your bill online at You may pay your bill by check or cash in our offices at 101 W 10th Avenue Suite 304, Eugene, OR 97401 between 9 AM and 5 PM.

Programs and services are provided to the public on a non-discriminatory basis. Language assistance services are available for limited English proficient individuals. To request assistance, accommodations, or to request this information in an alternate format, please contact the Center for Accessible Resources at 541.463.5150 or

Have you ever taken a class before with the SBDC or with Lane Community College? *
If you have taken classes before, what is your L# (Lane Student I.D.)?
Your answer
Last Name: *
Your answer
Former Last Name
Your answer
First Name: *
Your answer
Middle Initial
Your answer
Birth Month *
Birth Day *
Birth Year *
Your answer
Street Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Phone: *
Your answer
Email: *
This email must be unique to yourself and not in use by another person per FERPA records privacy act.
Your answer
Are you a veteran? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service