Community Education Registration Form

Date MM/DD/YYYY

Parent/Guardian Name

Parent/Guardian Information

Address

City

Zipcode

Home Phone

Work Phone

Cell Phone

Email Address

Enrollment #1

Name First and last.

Date of Birth

Class

Date of Class Beginning date if multiple sessions. MM/DD/YYYY

Time

Enrollment #2

Name

Date of Birth

Class

Date of Class Beginning date if multiple sessions. MM/DD/YYYY

Time

Enrollment #3

Name

Date of Birth

Class

Date of Class Beginning date if multiple sessions. MM/DD/YYYY

Time

Payment

Total Amount Due

Amount Paid

Method of Payment

Class Cancellation

Community Education reserves the right to cancel any class where there is insufficient enrollment. A full refund will be issued if a class is canceled by Community Education. Should inclement weather cause the cancellation of classes, media announcements will be made on woodtv.com.

To Cancel and Receive a Refund

A refund will be issued (minus a $5 processing fee) if the participant cancels at least 48 hours (or 2 business days) prior to the start of the class. If you cancel the day before or on the first day of the class, there will be no refund. No refunds will be made after the class has started, regardless of attendance.

Fees

A service charge of $20 will be assessed for returned/insufficient fund checks.

Registration Fees

Registration fees are non-refundable and are not applied toward the amount due for the program you are registering in.

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