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Catherine Leahy-Brine
Educational Consultants, Inc.

P.O. Box 1060
Brockton, Ma 02303
Phone 781-331-8826
Fax 781-337-6152
FITCHBURG STATE COLLEGE
Degree Programs

CATHERINE LEAHY-BRINE
Licensure Programs

COURSE PRE-REGISTRATION REQUEST

Please pre-register to avoid a class cancellation.
Please fill out this form completely.

Name:

Course Title:

Course Location:

Phone:

E-mail Address:
PLEASE be certain your e-mail address is accurate so that you receive the confirmation e-mail that is automatically generated.

Mailing Address:

Comments or questions:

    

After you click Submit Query, you will be brought back to our home page. A confirmation email will be sent to you acknowledging receipt of your form.

If you have pre-registered for more than one class, you will receive a confirmation e-mail for each class. If you do not receive the correct number of confirmation e-mails within 24 hours, please call our office to confirm that all of your pre-registrations have been received.

You will be notified if a class does not run due to insufficient enrollment.