Community Education - current class catalogs Families - Summer 2016

registrationforms forms registration Registration begins May 9 at 8 a.m. ECFE FAMILY INFORMATION (Please print legibly) Family last name____________________________________________________________________________________________________________________ Home or primary phone_______________________________________________________________________________________________________________ Parent(s) attending_________________________________________________________ ________________________________________________________ to: ECFE, 2727 N. Ferry St., Anoka, MN 55303 ECFE Mail 763-506-1275 First Last First All children attending including infants: Name______________________________________________________________________________________ Birthdate___________________________________ Name______________________________________________________________________________________ Birthdate___________________________________ Name______________________________________________________________________________________ Birthdate___________________________________ Do you or your child have health, behavior or other special needs? Please explain______________________________________________________________________________________________________________________ ECFE CLASS REGISTRATION - Registration also accepted online at www.discovercommunityed.com Class number Location 1st Choice Alternate Choice r Cash r Check No._______________ (payable to ECFE) r VISA r MasterCard r Discover Exp. Date______________ ESC Attn: Summer Comm. Schools • 763-506-1260 2727 N. Ferry St., Anoka, MN 55303 Day Class Title_____________________ Signature___________________________________________________________ Fee* *Fees can be adjusted Card No. __ __ __ __ –__ __ __ __ –__ __ __ __ – __ __ __ __ Parent(s) Name CS Last Work phone_______________________________________________________________ ________________________________________________________ Cell phone________________________________________________________________ ________________________________________________________ Address________________________________________________________________ City_______________________________ Zip code_______________ Email address

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