SBDC Class Registration Form - Winter 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.

Upon submission of this form, Lane SBDC will register you into the LCC student registration system. You will then receive an email explaining how to pay your bill online at web page and your student identification number (L#) and PIN/passphrase (a current email address is required).

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? *
First Name: *
Your answer
Last Name: *
Your answer
Former Last Name (if applicable)
Your answer
Date of Birth: *
You may type your birth date in MM/DD/YYYY format. Or if using the drop down calendar, be sure that your year of birth is selected.
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? *
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