Community Education - current class catalogs Adult activities and classes - Spring/summer 2015 | 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 Class ID_______________________________________________________ Mail registration form and payment to: Date/Time______________________________ Fee $_________________ Community Education Office Adult Learning 2727 N. Ferry St. Anoka, MN 55303 w Course Name__________________________________________________ Class ID_______________________________________________________ Date/Time______________________________ Fee $_________________ w Course Name__________________________________________________ register in person Class ID_______________________________________________________ Community Education Office 2  727 N. Ferry St., Door No. 8 drop off class registration and payment. Date/Time______________________________ Fee $_________________ Make checks payable to: Anoka-Hennepin School District Charge to my: r Card No. r r _ Exp. Date _______ __ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __ Signature www.discovercommunityed.com | 763-506-5766 | 2015 SPRING/SUMMER 39