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:_______________________________________________________________
Anoka Middle School- AMS Fred Moore Campus 1523 Fifth Ave. S., Anoka- 763-506-5012
Andover Elem. School- Andover Elem 14950 Hanson Blvd. N. W., Andover 763-506-1712
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 Jan. 3 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.
Middle School Youth Activities Contacts and Locations
Coon Rapids Middle School- CRMS 11600 Raven St. NW., Coon Rapids 763-506-4812
Crooked Lake Elementary 2939 Bunker Lk. Blvd. NW., Andover 763-506-2112
Bunker Park Stables
Jackson Middle School- JMS
550 Bunker Lake Blvd., Andover
Community Education funds, including participant fees, paid for the printing and distribution of this publication. Regular K-12 instruction funding was not used.
Anoka-Hennepin Community Education 763-506-1260
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.
6000 109th Ave. N., Champlin- 763-506-5312
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.
Northdale Middle School- NMS 11301 Dogwood St. NW., Coon Rapids 763-506-5412
Oak View Middle School- OVMS 15400 Hanson Blvd., Andover- 763-506-5612
Roosevelt Middle School- RMS 650 125th Ave. NE., Blaine- 763-506-5812
‘ Like’ us on Facebook for activity updates and information: www. facebook. com / discovercommunityed
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