Credit Registration Drop-Add Form * - indicates a required field.Personal InformationStudent ID*For Year:*Semester* Fall Spring Summer Gender Male Female Name* First Middle Last Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code*Is this a new address?* Yes No Phone*Last 4 of SSN*Birthdate*Student Email* Ethnicity* Hispanic / Latino Non-Hispanic / Non-Latino Race (check all that apply)* American Indian orNative Alaskan Black or African American Native Hawaiian orPacific Islander Asian White Course InformationAction Code for Courses: R-Register, A-Add, D-DropFirst CourseAction*R - RegisterD - DropA - AddAu - AuditTerm*Subject/Course Number*Course Title*Credits* Second CourseActionR - RegisterD - DropA - AddAu - AuditTermSubject/Course NumberCourse TitleCredits Third CourseActionR - RegisterD - DropA - AddAu - AuditTermSubject/Course NumberCourse TitleCredits Fourth CourseActionR - RegisterD - DropA - AddAu - AuditTermSubject/Course NumberCourse TitleCredits Fifth CourseActionR - RegisterD - DropA - AddAu - AuditTermSubject/Course NumberCourse TitleCredits Sixth CourseActionR - RegisterD - DropA - AddAu - AuditTermSubject/Course NumberCourse TitleCreditsConsent* I agree:Academic advisors are available to assist all students of Camden County College. I certify that in the absence of an advisor’s signature below, I am choosing to register without the benefit of academic advisement. I agree to abide by the rules and regulations of Camden County College as outlined in College publications. I understand that I am personally liable for all costs associated with my courses, including tuition and applicable fees, whether or not I receive any assistance in the form of loans, grants, gifts or court-ordered payments from any sources. I acknowledge that my registration statement is my bill and that a 100% refund may only be obtained prior to the first day of the semester/term. I certify that all information on this form is true, correct, and complete to the best of my knowledge, and that I am responsible for any information that is not true. Signature*Today's Date*CAPTCHA