Winter and Spring Course Registration Form

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.

Clear
Classes on the second page...click the BLUE NEXT!:)

Spring/ SummerCommunity Education Registration Form