City of Lakewood Civics 101 Registration Form

City of Lakewood
CIVICS 101 REGISTRATION FORM
REGISTRATION DEADLINE: Sept. 1, 2008

Class Will Meet 6-9pm, Tuesdays, Sept. 16 - Nov. 4
City Council Chambers, 480 S. Allison Parkway

Print out, Fill in & Return your application by Sept 1, 2008, to:
Civics 101, City Manager's Office, 480 S. Allison Parkway, Lakewood, CO 80226

Or fax your completed application to 303-987-7063

Name
Address
Home Phone	Work Phone
Emergency Contact
Why does Civics 101 interest you?
What is you experience with City government?