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Lumen Center Program Registration

- Program Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  PAYMENT POLICY
  Registration fees are the Lumen Center's primary source of revenue; however, we offer the option to "pay within your means" so that all who truly wish to participate may do so. Limited resources should not prevent anyone from attending an event. Please make the appropriate payment choice that is best for you.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  If this is your first time registering, how did you hear of the Lumen Center's programming? Please enter valid data.
  
  I WOULD LIKE TO REGISTER FOR THE FOLLOWING PROGRAMS:
  
  Fall 2023 registration will open by August 2023.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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