Escolar Documentos
Profissional Documentos
Cultura Documentos
CLAIR SHORES
ADULT & COMMUNITY EDUCATION
WINTER 2017
SPECIAL NEEDS PROGRAMS
REGISTRATION INFORMATION
ON LINE
www.scscommunityed.org
BY PHONE
(586) 285-8880
OR
Complete the Registration form below
Checks, Visa MasterCard or Discover Accepted
NAME_________________________________________________________________________________________________________
DOB______________________________________________ PARENT NAME______________________________________________
ADDRESS_______________________________________________________________________________________________________
CITY ____________________________________________________________________________ZIP____________________________
HOME PHONE _______________________________________________ CELL PHONE______________________________________
EMAIL ADDRESS _______________________________________________________________________________________________
CLASS# ________________________________ CLASS NAME_________________________________________________________
CLASS FEE _____________
CHECK #__________