Community Education - current class catalogs Youth activities and classes - Summer 2016 | Seite 15

REGISTRATION Student name ____________________________________________ Gender M F Birth date _______________ Grade ______ Participants must be age indicated by class start date. 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 __________ Course name _________________________________ Location ___________________ Number _________________ Fee __________ Please check one: My child will be picked up each day My child has permission to walk home Registration Information and Frequently Asked Questions Questions? Call Community Schools at 763-506-5144. *After June 11, calls are answered Monday-Thursday from 9 a.m.-1 p.m. Office will be closed Monday, May 30 and Monday, July 4. Mail-in or drop-off registration Community Schools Educational Service Center, door No. 8 2727 N. Ferry Street, Anoka, MN 55303 *Use drop box after hours Online registration Register for Community Schools activities 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, Preschool enrichment or Youth activities & classes districtwide. Fee assistance Limited fee assistance is available for students receiving free or reduced lunch. For more information, call 763-506-1260. Inclement weather Dec \