Human(itie)s in the Library Registration

Use the form below to register for Human(itie)s in the Library. The information is important so we can contact you, and know where you are starting from, and build from there. Once you submit the registration form, you will receive a communication saying you’re admitted to the program along with other program information.

Classes will be Mondays from 5:30 pm to 8:00 pm starting in January and ending in early February.

Please complete the form to the best of your ability.

If you have any questions, please do not hesitate to contact me via email at jczank@tbpl.ca.

Sincerely,

Dr. James M Czank
Founder of Human(itie)s in the Library
Thunder Bay Public Library

"*" indicates required fields

Name*

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your age:

17 - 25

26 - 35

36 - 45

46 - Older

Emergency Contact Name*

Emergency Contact's Phone*

Please tell us briefly why you're interested in participating in this program.

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Phone

This field is for validation purposes and should be left unchanged.

This information will be submitted via email. .

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Human(itie)s in the Library Registration

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