Tri-County OIC Registration Form

Complete this form to register online. NOTE: To send your registration form, you must click the DONE button at the bottom of this page.

Name *
Name
Home Phone
Home Phone
Cell Phone
Cell Phone
Address *
Address
Please indicate your age group: *
When is the best time to contact you? *
Check the class(es)/courses you would like to register for: *
Do you have any barriers that would keep you from coming to class? *
Check your reason(s) for returning to school: *
How did you learn about Tri-County OIC?
Photo release: "I give my permission and consent to be photographed during OIC activities. I further give permission and consent for OIC to publish and use such photographs to illustrate and promote the OIC experience and programs."
Are you interested in vocational skills training for ex-offender youth (18-24 years of age) who live in the City of Harrisburg?