YOU MUST PREREGISTER FOR ALL PROGRAMS unless otherwise noted.
Registration is on a first come first serve basis. Some classes require that
you register with one of our partners, rather than through Community Education.
Please carefully check the course and program listings for this information.
If you have any questions, please call the Community Education Office at 685-2808.
Make checks payable to Community Education. Mail registration or bring
it in person to 217 S. Hofstetter, Colville, WA 99114.
Receipt______ Roster______
Community Education
Registration Form
Name: ,
Address:
City:
Zip:
Home Phone:
Work Phone:
Email:
Student
Class
Class Date(s)
Grade (if student)
Class Fee
$
$
$
$
Please include $1 per class if you live outside Colville School District: $
I have included a donation for the youth scholarship fund: $
Total Enclosed: $
0
Allergies:
I hereby indemnify and hold harmless the Colville School District and Community Education Program, its employees, agents and officers from any and all claims resulting from accident, injury, or loss due to participation in above activities. I have listed any allergies or medical conditions on this form if applicable.
Signature___________________________________ Date ____________________