Community Education - current class catalogs Adult activities and classes - Fall 2014 | Page 39

registration register online Full Name Visit us on our website at www.discovercommunityed.com to set-up your secure personal account for class registration using your Visa, Mastercard or Discover. Be sure to remember your user name and password for future online registration. Email Address ___________________________________________________ register by phone Call 763-506-5766 Mon. - Fri. 9 a.m. - 4:30 p.m. Register for a class using your Visa, Mastercard or Discover. Deaf/hearing impaired dial 711 for MN Relay. (this information is NOT shared) H Phone____________________ C Phone_____________________________ W Phone ____________________ Birthdate (MO/YR)_____________________ Home Address___________________________________________________ City________________________________________ Zip__________________ Accommodations  r ASL Interpreter r Wheelchair/Walker r Other________________________________________ class information w Course Name__________________________________________________ Class ID_______________________________________________________ Date/Time______________________________ Fee $_________________ w Course Name__________________________________________________ register by mail (($