2017 Winter Catalog - Hastings Community Education Winter 2017 Catalog | Page 60

Registration Information Register online 24/7 at www.HastingsCommunityEd.com About this catalog: OFFICE HOURS: School year Summer M-F M-F 8 am-4:30 pm 8 am-4 pm OFFICE LOCATION: Tilden Community Center, 310 River Street, Hastings OFFICE NUMBERS: Direct 651-480-7670 Fax 651-480-7680 See our website listed above for complete registration information and policies. ONLINE: www.HastingsCommunityEd.com The Community Educa on program catalog is published three mes a year and is mailed to all homes and businesses in the Has ngs School District area. Copies are available for pick up at numerous loca ons around Has ngs. If interested in offering a class, or inser ng a paid adver sement, please call: Zena Stefani, Adult Enrichment, Recrea on and Marke ng Coordinator Tilden Community Center 310 River St, Has ngs, MN 55033 Direct: 651-480-7674 Email: zstefani@has ngs.k12.mn.us CALL: 651-480-7670 M-F, 8 am-4:30 pm Hastings Community Education - Registration Form Return to: Tilden Community Center, 310 River St, Has ngs, MN 55033 Name (F-M-L) ______________________________________________________________ Address ___________________________________________________________________ City/State/Zip ______________________________________________________________ Phone (H) ___________________________ (W) ________________________________ (C) _________________________________ (Emergency #) _______________________ Email Address Required:______________________________________________________ Age:  6-18 yrs   19-54 yrs  55+ yrs    Male  Female   Registrant’s Date of Birth (if under 21 yrs) _______________________________________ If registrant is under 18, parent’s name__________________________________________ Does the registrant have any special needs where we might assist?  Yes  No If yes, please explain on an addi onal sheet of paper.    UCare Member ID Number ________________________________________________ (Must be on UCare at the me of the class to receive discount. One discount per calendar year for UCare for Seniors program.)  1. Class Name/Trip __________________________________________________________ Sec. ____________________ Date(s) __________________________ Fee $ ________ 2. Class Name/Trip __________________________________________________________ Sec. ____________________ Date(s) __________________________ Fee $ ________ Make check payable to: Has ngs Community Educa on Check #: _____  Visa  Mastercard __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __   Exp. Date __ __ / __ __ 3-Digit Security # on back __ __ __ Name, as it appears on the card _____________________________________________