• C.A.E. Adult Student Registration

    Upon completion, a C.A.E. representative will contact you within 1-2 business days.
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  • Emergency Contact Information

  • Health History

    All information contained will be kept confidential in accordance with The Health Insurance Portability and Accountability Act (HIPAA) of 1996

  • Blanket Release Attestation

  • Student Enrollment Payment

    A one-time $75.00 annual enrollment fee is to be paid before class begins. No additional fees will be charged for any *eligible participant; unless specified otherwise (program/project activity supply expenses, field trips, etc.).

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  • Please click one of the PayPal options to complete payment and submit the form.

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