Centennial registration form
- Fill out form below and click submit button.
- After you click the submit button, you will be taken to a page where you will find instructions for paying by check or by credit card via secure server.
- Please note your payment total. You will need to know it to make payment.
- Questions? Contact Polly E. Holmberg: email@example.com or 607-255-2131.
- Accommodations for persons with disabilities may be requested by contacting us by May 28 to ensure sufficient time to make arrangements. Requests received after this date will be met when possible.