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Continuing Education and Professional Development Center


Registration Form

Form is now in a PDF format. After reading instructions, please click here to display form and then print it.

Simple Steps for Registration

  • Complete student information on the form.  (If the student is a young child, the parent may complete, print, and sign the form.)

  • Do NOT fill the "for office use only" box.

  • Indicate the title of course and course date/time for the class you want to register.  A separate registration form must be filled out for each course you want to register.

  • Send completed registration form and check made payable to Chipola College.
                Mail to: 
                Chipola College
                c/o Continuing Education
                3094 Indian Circle
                Marianna, Fl. 32446.
                Or bring your completed form and pay at the Continuing Education Center.  

  • For more information call 850-718-2270.

Member of The Florida College System 3094 Indian Circle | Marianna, FL 32446 | Phone: (850) 526-2761 | Email Us