Winter / Spring 2026 registration form

( ONE FORM PER PERSON / THIS FORM MAY BE REPRODUCED)

Participant / Staff information:( No participant substitution without prior notice.)

Name of Participant name: ______________________________________ Phone: _______________ Group Home: ________________

Address: __________________________________________________________ City: _____________________ Zip: ___________

Email: __________________________________________( for class confirmation)

Birth date: _____ / _____ / ________ REQUIRED- Legal guardian / Emergency contact( must be able to be reached during class time.): ________________________________

_______________________ ____________________________ ______________________

Legal guardian name Phone No. Emergency contact name Phone No.

Special Accomodations: o Wheelchair o Allergies ______________________________ o Other _____________________________ Staff must remain on site: o Yes o No Photo Release: o Yes o No o ASL Interpreter ___________________

50’ s Dance Party!	_____ $ 15
Anoka Middle School Play-
Mean Girls Jr.	_____ $ 15
Bingo
Tu, Jan 6	_____ $ 12
Tu, Feb 10	_____ $ 12
Tu, Mar 10	_____ $ 12
Tu, Mar 24	_____ $ 12
Th, Apr 16	_____ $ 12
Tu, Apr 28	_____ $ 12
Bowling League
M, Jan 26- Feb 23	_____ $ 65
M, Mar 9- Mar 30	_____ $ 65
M, Apr 6- Apr 27	_____ $ 65
Button Art	_____ $ 15
Chicken Tacos	_____ $ 19
Cookies and Games	_____ $ 12
Crafty Artists Art Night!
W, Jan 21	_____ $ 12
Th, Feb 26	_____ $ 12
Tu, Mar 17	_____ $ 12
Tu, Apr 14	_____ $ 12
Cupcakes and Games	_____ $ 12
Dinner and Treats at DQ	_____ $ 15
■ Cheeseburger ■ Hot dog ■ Chick. strip
Dinner at Davanni’ s	_____ $ 25
Dinner at Sammy’ s Pizza
W, Feb 25	_____ $ 25
W, Apr 15	_____ $ 25
Fancy Unicorn Painting	_____ $ 22
Friday Night Bowling
F, Jan 16	_____ $ 24
F, Feb 13	_____ $ 24
F, Mar 13	_____ $ 24
F, Apr 10	_____ $ 24

Friday Fun Night!	_____ $ 15
Hawaiian Dance Party!	_____ $ 15
Indoor T-Ball	_____ $ 35
Karate	_____ $ 40
Karate- Self-Defense Class	_____ $ 15
LEGO ® Social
W, Feb 18	_____ $ 12
Th, Apr 9	_____ $ 12
Love Bug Craft	_____ $ 15
Merry Music Makers	_____ $ 55
Movie and Pizza	_____ $ 20
Movie and Subs	_____ $ 20
Movie and Tacos	_____ $ 20
Music Bingo	_____ $ 12
Music with Claire- Beatles	_____ $ 12
Music with Claire- Broadway	_____ $ 12
Music with Claire- Country	_____ $ 12
Nachos Supreme	_____ $ 19
Neon Dancing Lights( Glow) Painting	_____ $ 22
Paint a Rainbow	_____ $ 18
Paint a Textured Canvas	_____ $ 15
Polymer Clay Pokémon at the RRAC	_____ $ 32
Pool Party
F, Jan 9	_____ $ 15
F, Mar 20	_____ $ 15
Project Power Bowling Invitational	_____ $ 24
Spring Time Sugar Cookies	_____ $ 19
Sun Catcher	_____ $ 15
Table Tennis	_____ $ 14
Tile Board Art	_____ $ 14
Water Aerobics
F, Jan 30	_____ $ 15
F, Mar 6	_____ $ 15
F, Apr 10	_____ $ 15

Valentine’ s Day Cupcakes	_____ $ 19
Zumba Moving and Grooving
F, Feb 13	_____ $ 15
F, Mar 13	_____ $ 15
F, Apr 24	_____ $ 15

COMMUNITY INCLUSION ACTIVITIES Inclusion Bingo _____ $ 12 Inclusion Cooking Class- Cheesecake Apple Pie Puff Pastry Braid _____ $ 14 Inclusion Dance- Mamma Mia! _____ $ 15 Inclusion Painting- Some Bunny to Love _____ $ 22

STAFF / CAREGIVER REGISTRATION
50’ s Dance Party!( if eating)	_____ $ 9
Anoka Middle School Play-
Mean Girls Jr.	_____ $ 15
Chicken Tacos( if eating)	_____ $ 19
Cookies and Games( if eating)	_____ $ 6
Cupcakes and Games( if eating)	_____ $ 6
Dinner at Davanni’ s( if eating)	_____ $ 25
Dinner at Sammy’ s Pizza
W, Feb 25( if eating)	_____ $ 25
W, Apr 15( if eating)	_____ $ 25
Dinner and Treats at DQ( if eating)	_____ $ 15
■ Cheeseburger ■ Hot dog ■ Chick. strip
Friday Fun Night!( if eating)	_____ $ 15
Hawaiian Dance Party!( if eating)	_____ $ 9
Movie and Tacos( if eating)	_____ $ 20
Movie and Pizza( if eating)	_____ $ 20
Movie and Subs( if eating)	_____ $ 20
Nachos Supreme( if eating)	_____ $ 19
Spring Time Sugar Cookies( if eating)	_____ $ 19
Valentine’ s Day Cupcakes( if eating)	_____ $ 19

Payment is due at the time of registration. Refund and cancellation policy: Requests with at least five business days notice from the class start date are eligible for a refund minus a $ 10 processing fee. Refund requests with less than five business days notice from the start of class are not eligible for a refund.

Participant total: $ __________ Staff / Caregiver total: $ __________

Paper check: Payable to“ Anoka-Hennepin Schools”( All checks are processed electonically.)

Credit card: Name:__________________________________________ Card No.:____________- ____________- ____________- ___________ Exp. date: _________ / _________

UCare Healthy Benefits Card No.: ____________- ____________- ____________- ___________ Exp. date: _________ / _________

Mail form and payment to Anoka-Hennepin Community Ed. Attn: Project Power 2727 N. Ferry St., Anoka, MN 55303

or FAX form to 763-506-1299 and call to make payment at 763-506-1290

or easy online registration and payment option. Go to ahschools. ce. eleyo. com

Community Education - current class catalogs Project Power - Winter 2026 | Page 15

Winter / Spring 2026 registration form