Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

REGISTRATION FORM

CLASS SIGN UP
Name: Ward:
Phone#: Lunch: Yes or No (Circle one)
Email: (for class handouts)

Class Time Quantity $ Total

Super Saturday Registration fee to help cover costs of


food and copies $1.00
Grand
Total

Childcare Registration--Children are not invited to the classes. Please make


other arrangements.
PLEASE NOTE: Childcare is provided for those who have NO OTHER OPTION for childcare on this day.
Please plan accordingly. Children must be 18 mo. - 10 years to attend. The nursery will be closed
from 12:00 to 1:00 for lunch.
Child's Name Age
1._____________________________________ _________
2._____________________________________ _________
3._____________________________________ _________
Please bring a sack lunch for you to feed your child/ren during lunch. Snacks will be provided.

PAYMENT INFORMATION

Please make checks payable to Andrea Harmon


If paying with cash, exact cash only please
Registration CLOSES: October 18th, 2009 (last day to mail Thurs. Oct. 15th)
Please turn in registration forms and payment to your enrichment leader or mail to:

Charisa Hammond
PO Box 436
Wasco, OR 97065

You might also like