RAD Class Registration Form

	RAD Class Reservation Form
	Name:
	Email:
	Day Phone Number:
	Evening Phone Number:
	Status to Queen's:	Student Staff Faculty Other
	Click on preferred Course (if more than one showing). * Each course consists of three classes from 5:00 - 9:00 pm
	*NOTE: Registration Process is NOT complete until you drop off the $10 Refunded Deposit.**
	* The $10 deposit is refunded to a participant after they have completed the Course.	IF YOU RECEIVE AN ERROR WHEN SUBMITTING YOUR FORM, Email this form's details to RAD@queensu.ca