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50<br />
<br />
noted.<br />
<br />
on a first-come, first-served basis. Fees must<br />
accompany your registration.<br />
<br />
1) Go to communityed.westonka.k12.mn.us<br />
2) Use your MasterCard or Visa and call<br />
952.491.8040<br />
3) Fax your registration to 952.491.8043<br />
4) Register in person at Westonka Community<br />
Education and Services.<br />
5) Use the Drop Box attached to the<br />
Educational Service Center mailbox in the<br />
upper parking lot.<br />
Participant Name ________________________________________ M/F<br />
Address ____________________________________________________<br />
City _________________________________ Zip __________________<br />
Special Needs/Comments_______________________________________<br />
Age : Child ❏ 0-5 yrs Youth ❏ 6-18<br />
Adult ❏ 19-54 ❏ 55+ (10% discount)<br />
DOB _____/_____/_____ Grade _____ School ______________<br />
Does student attend Adventure Club? Yes No<br />
Office Use Only: Date ____________ Time ___________ F W/S S<br />
✄<br />
Class # Class Title Fee<br />
Participant Name ________________________________________ M/F<br />
Address ____________________________________________________<br />
City _________________________________ Zip __________________<br />
Special Needs/Comments_______________________________________<br />
Age : Child ❏ 0-5 yrs Youth ❏ 6-18<br />
Adult ❏ 19-54 ❏ 55+ (10% discount)<br />
DOB _____/_____/_____ Grade _____ School ______________<br />
Does student attend Adventure Club? Yes No<br />
Class # Class Title Fee<br />
Registration<br />
We will notify you if a class is filled, canceled,<br />
or changed. Assume your class will be held<br />
unless you are notified. *Please note: If your<br />
phone screens out unidentified calls, you could<br />
miss important calls about your student’s safety<br />
or class cancellations. Please provide work<br />
and cell phone numbers on the registration<br />
form.<br />
Tune in to WCCO radio (830 AM) for weatherrelated<br />
class cancellations or call 952.491.8055<br />
after 4 pm.<br />
Adult with disabilities: Please contact Sarah<br />
Heyer at 952.491.8045.<br />
Parent Name ____________________________________________________<br />
Work Ph. ( ) _________________ Home Ph. ( ) ________________<br />
Cell Ph. ( ) ___________________ (see *note above)<br />
E-mail: _________________________________________________________<br />
❏ Please add me to the e-mail list for updates on new classes and special offers.<br />
Method of Payment<br />
________ Cash<br />
________ Check (Payable to ISD 277) Check # _________<br />
❏ MasterCard ❏ VISA<br />
Cancellation policy: If you cancel with less<br />
than three working days’ notice, 50% of the<br />
registration fee will be refunded. Some classes<br />
and/or programs may have a more specific<br />
refund policy. No refunds can be given after the<br />
class has begun. There will be a $5 processing<br />
fee for all customer-requested refunds.<br />
Westonka Community Education reserves the<br />
right to cancel classes with less than minimum<br />
<br />
those cases, a 100% refund will be given.<br />
Office Hours<br />
Monday-Friday, 8 am-4:30 pm,<br />
Tel: 952.491.8040<br />
Add our website to your favorite:<br />
communityed.westonka.K12.mn.us<br />
I would like to contribute to the “Sponsor a Student Scholarship Program.”<br />
❏ $10 ❏ $25 ❏ $50 ❏ $75 _______Other<br />
Card #: ________ - ________ - ________ - ________ Exp.: _____ / _____<br />
Cardholder’s name (please print): ____________________________________<br />
Mail to: Westonka Community Education & Services, 5901 Sunnyfield Road East, Minnetrista MN 55364; Fax: 952.491.8043<br />
Parent Name ____________________________________________________<br />
Work Ph. ( ) _________________ Home Ph. ( ) ________________<br />
Cell Ph. ( ) ___________________ (see *note above)<br />
E-mail: _________________________________________________________<br />
❏ Please add me to the e-mail list for updates on new classes and special offers.<br />
I would like to contribute to the “Sponsor a Student Scholarship Program.”<br />
❏ $10 ❏ $25 ❏ $50 ❏ $75 _______Other<br />
Method of Payment<br />
________ Cash<br />
________ Check (Payable to ISD 277) Check # _________<br />
❏ MasterCard ❏ VISA<br />
Office Use Only: Date ____________ Time ___________ F W/S S<br />
Card #: ________ - ________ - ________ - ________ Exp.: _____ / _____<br />
Cardholder’s name (please print): ____________________________________<br />
Mail to: Westonka Community Education & Services, 5901 Sunnyfield Road East, Minnetrista MN 55364; Fax: 952.491.8043