Community Education - current class catalogs Families - Summer 2015 | Page 23

registration forms
ECFE FAMILY INFORMATION (Please print legibly)
Parent(s) attending _________________________________________________________ _______________________________________________________
Last

First

Last

Home or primary phone ____________________________________________________ Cell___________________________________________________
Work phone ______________________________________________________________ Other phone ___________________________________________
Address______________________________________________________ City ________________________________ Zip code_______________________
Email address_______________________________________________________ r Yes, I would like to receive ECFE newsletters and other class info by email.
All children attending class, including infants:
First and last name_____________________________________________________________________ Birthdate_____________________ r boy r girl
First and last name________________________________________________________ }}}}}}}}}}}}|