Spring/ SummerCommunity Education Registration Form
Fill out the form carefully for registration
Participant Name
First Name
Last Name
Teacher's name if elementary student
Parent/Guardian Name, if a student
If registering more than one participant
Name
First Name
Last Name
Teacher's name if elementary student
Name
First Name
Last Name
Teacher's name if elementary student
PLEASE leave an email and or a cell number for contact info in case of class changes.
parent or adult participant email
example@example.com
Parent or adult participant Cell Number
Please type YES if you WILL give permission to have photographs taken and published
Are there any allergies we need to be aware of?
Signature: I certify that I give my permission for the listed person(s) to participate in the Community Education program. I certify that I either have insurance and/or accept all legal responsibility for injuries/accidents arising therefrom.
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Classes on the second page...click the BLUE NEXT!:)
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Additional Comments/anything we need to know about your child and their participation in CE classes
You may register for more than one class at a time.
May CRAFT Night grades PK-1 Thursday, May 19th. 4:00-5:30pm $5.00 Instructor Tara Erickson
May CRAFT Night grades 2-6 Thursday, May 19th. 4:00-5:30pm. $5.00 Melissa Mistic Instructor.
Junior Golf Lessons. For kids ages 7-14. Wednesdays in JUNE: Starting June 8, 15,22, and 29. 8:30-11:30am No experience required! $60.00 per child. We do have some junior golf clubs available to use. You may drop your golfer off and pick up after class, at the golf course. Golfers will learn proper etiquette and golf behavior, proper swings and club use and the art of putting.Any questions, contact Melanie Cleveland at mcleveland@blackduck.k12.mn.us Please send payment to school before the end of the year to secure your child's spot.
Succulent Class Open House Found North Goods-97 Main Street Blackduck, MN Tuesday, June 28th $18.00 per person Stop in anytime between 4:00-6:00pm! Cheryl will have all the supplies needed for you to create your own mini succulent planter. snacks and beverages provided. mcleveland@blackduck.k12.mn.us or call Melanie 218-766-3809 with questions. Shopping also available!
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