Community Education - current class catalogs Youth activities and classes - Fall 2015

REGISTRATION! Student name ____________________________________________ Gender M F Birth date _______________ Grade ______ Address __________________________________________________________________________ School __________________________ City _________________________________________ Zip _______________ Phone No. (Home) ________________________________ Accommodation needs _____________________________________________________________________________________________ Parent/Guardian name _________________________________________ (Work) _____________________ (Cell) __________________ Parent/Guardian email address ______________________________________________________________________________________ Providing us with an email address allows us to contact you in case of schedule changes. Cash, Check No. ___________ or Visa MasterCard Discover (Check one) Amount $__________________________________ Cardholder signature required _____________________________ Exp. date _________/_________ Checks payable to Anoka-Hennepin Dist. No. 11 Credit card No. ________ ________ ________ ________ — ________ ________ ________ ________ — ________ ________ ________ ________ — _______ ________ ________ ________ Course name _________________________________ Location ___________________ Number _________________ Fee __________ Course name _________________________________ Location ___________________ Number _________________ Fee __________ Course name _________________________________ Location ___________________ Number _________________ Fee __________ Athletic participants must have a Sports Qualifying Physical, and Eligibility and Emergency Health form on file at your schools’ Community Education office. Do you have these forms on file? Yes No (Check one) Please list significant health, injury or concussion concerns:_______________________________________________________________ Registration Information and Frequently Asked Questions Online registration Register at www.discovercommunityed.com – convenient, secure, 24-hour registration using your Visa, MasterCard or Discover Card. Click on "register" enter the class name into the search box or scroll to the bottom of page for two options, classes-by school or classes-districtwide. Drop-off registration - as of August 24 Drop-off a separate form and payment for each class location at your schools’ Community Education office M-F from 8:30 a.m. - 4:30 p.m. Fee assistance Limited fee assistance is available for students receiving free or reduced lunch. Contact your schools’ Community Education office. Inclement weather Decision to cancel will be made just prior to class time. All outdoor activities that are cancelled will not be rescheduled or refunded. Transportation Activity buses are available M-Th for all programs that meet immediately after school. Photos and video: Anoka-Hennepin Schools staff, volunteers, representatives of the news media and others occasionally photograph and videotape participants in our programs. The photos and video may be used for district and departmental promotions, or in school and department-related publications, videos, web and social media sites as appropriate. Anoka-Hennepin Community Education will take reasonable steps to prevent participants who prefer not be be photographed/videotaped, but cannot guarantee that participants will not be photographed/videotaped as part of a large group or public event, such as a theatre production or athletic event. Payment You may pay with a personal check, cash or credit card. Make checks payable to Anoka-Hennepin Schools. Registrations are not complete without payment. A registration confirmation will be emailed to you if an email address is provided. Classes are filled on a first-come, first-serve basis. Activities with low enrollment will be cancelled. Participants will be notified and payment refunded. Refund policy Customer initiated cancellations made at least five business days before the class is scheduled to start may qualify for a partial refund. Customer initiated cancellations made less than five business days are not eligible for a refund. Middle School Activities and Athletic Locations Anoka Middle School - AMS Fred Moore Campus 1523 Fifth Ave. S., Anoka 763-506-5012 Champlin-Brooklyn Park Academy CBPA 6100 109th Ave., Champlin 763-506-6000 Andover Elementary - Andover Elem Coon Rapids Middle School - CRMS 11600 Raven St. NW., Coon Rapids 14940 Hanson Blvd., Andover 763-506-4812 763-506-5612 Jackson Middle School - JMS 6000 109th Ave. N., Champlin 763-506-5312 Oak View Middle School - OVMS 15400 Hanson Blvd., Andover 763-506-5612 Northdale Middle School - NMS Roosevelt Middle School - RMS 11301 Dogwood St. NW., Coon Rapids 650 125th Ave. NE., Blaine 763-506-5412 763-506-5812 We look forward to seeing you at the middle school open houses on Wednesday, September 2. Anoka-Hennepin Community Education 6

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