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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

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