Enfield Adult Education Fall 2020 Fall 2020 Brochure | Page 23

#2 Mail-In Registration Instructions
ENFIELD ADULT EDUCATION
FALL 2020 REGISTRATION FORM
Please print neatly. Mail to Enfield Adult Education, 124 North Maple Street, Enfield, CT 06082
Make check or money order out to: The Town of Enfield. Do not send cash.
All residents my register beginning July 21, 2020.
Please indicate names if more than one person is registering.
Please make extra copies if needed.
You will only be notified if a class is canceled or filled.
No Confirmation Will Be Sent.
PLEASE REGISTER FOR CLASS ONE WEEK PRIOR TO CLASS!
Name_______________________________ Name_______________________________
Address:_____________________________ Address: ____________________________
Town & Zip: ________________________ Town & Zip:_________________________
( )
( )
Home Phone# _______________________ Home Phone# _______________________
Work Phone# ________________________ ( )
Work Phone# ________________________
( )
( ) ( )
Cell Phone# _________________________ Cell Phone# _________________________
Email: ______________________________ Email: ______________________________
Are you over age 65? ______ yes _____ no
New
Are you over age 65? ______ yes _____ no
Residents of Enfield, Granby, Somers and Suffield pay the stated fee. Residents of
all other towns pay the stated fee plus a $10 surcharge per class. Senior citizens (aged
65+) pay 50% of the fee, except where stated, and do not pay the surcharge.
Course Name - (Person enrolled if Fee $10 Surcharge Total
multiple registration)
for Non-Enfield
Granby, Somers
& Suffield Residents
Per Class
___________________________________ $__________ $__________ $____________
___________________________________ $__________ $__________ $____________
___________________________________ $__________ $__________ $____________
Total Enclosed
$ ____________
Snow policy: If Enfield Public Schools are closed, Enfield Adult Education classes are canceled.
Call the school closing hotline at [phone].
Please retain for your records. No written confirmation will be sent.
Registered for: _______________________ Registered for: _________________________
Date/time of class:____________________
Date/time of class:______________________
Location/Room: _____________________ Location/Room: _______________________
ALL MANDATED PROGRAMS ARE FREE • FALL 2020 • EAE • 23