Community Education - current class catalogs Families - Winter 2017

registration registrationforms forms Registration begins Wednesday, December 14 at 8 a.m. Registration is also accepted online at www.discovercommunityed.com Family last name____________________________________________________________________________________________________________________ Home or primary phone_______________________________________________________________________________________________________________ Parent(s) attending_________________________________________________________ ________________________________________________________ ECFE FAMILY INFORMATION (Please print legibly) 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___________________________________ List any health, behavior or other special needs your child(ren) may have: __________________________________________________________________________________________________________________________________ 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______________ Mail to: Community Schools • 763-506-1260 See page 36 for specific addresses of class locations 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_________________________________________________________ r Yes, I would like to receive ECFE newsletters and other class info by email. due to inability to pay. I can pay $____________________ r Cash r Check No. ___________ (payable to AH Dist #11 Comm. Ed.) Home phone_________________Work/Cell __________________ r VISA r MasterCard r Discover Address_________________________________________________ Card No. __ __ __ __ –__ __ __ __ –__ __ __ __ – __ __ __ __ City______________________________ Zip____________________ Exp. Date_________ Signature__________________________ Email address____________________________________________ Course No.___________________ Class title___________________ Fee $___________ Location______________ Day/Time____________ Course No.___________________ Class title___________________ Fee $___________ Location______________ Day/Time____________ Course No.___________________ Class title___________________ Fee $___________ Location______________ Day/Time____________ *Please complete and mail or drop off a separate form and payment for each class location. Registration also accepted online at www.discovercommunityed.com Total payment enclosed $_____________________ Child last name___________________________________ First name__________________________________ Birthdate__________________ List any health, behavior, or other special needs your child may have__________________________________________________________ www.discovercommunityed.com 39

Community Education - current class catalogs Families - Winter 2017 | Page 39