Adult Basic Education Registration Form
Take the first step towards improving your skills today! Please take a moment to complete this registration form and one of our staff members will contact you shortly. 
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Student's First Name *
Student's Last Name *
Student's Preferred Name
Student's Date of Birth *
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Student's Email *
Student's Phone Number *
What is the best way to contact you? *
What is the best time to contact you? *
What skill(s) are you interested in improving? *
Required
How did you hear about us? *
Consent
By completing this form, you consent to being contacted by South Baldwin Literacy Council via email and/or phone. You can opt-out at any time by clicking "unsubscribe" at the bottom of any email or by replying STOP, QUIT, CANCEL, OPT-OUT, and/or UNSUBSCRIBE to any mobile message from us.
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