Adult Enrichment Spring Supplement Spring 2019 | Page 31

REGISTRATION
Online at www.isd622.ce.eleyo.com
Phone [phone]. Please have your credit
Confirmation is by email only when you register. You will be notified when a class is filled, cancelled,
or rescheduled. Credit card payments will appear on your statement as “ISD 622 Community Ed.”
Fax complete registration form with credit card Cancellations must be made at least 5 business days prior to start of class or by registration
deadline indicated. A processing fee of $10 per class will be deducted from your refund. Despite
cancellation date, some classes, supplies or ticket fees are non-refundable. Trips and tours have
specific refund policies; please refer to the website.
Mail registration & payment to Community UCare for Seniors and UCare Choices/Fairview Choices members are eligible for a $15 discount on
most adult enrichment classes (up to 3 discounts per calendar year). Include your UCare ID number.
card and all class information ready. Or call our
24-hour registration line 651-748-7254.
information to 651-748-7271.
Education–Enrichment, 1945 Manton St.,
Maplewood, MN 55109
Name_____________________________________________________________________ Birthdate____/____/____ q Male q Female
Address________________________________________________________ City__________________________ State____ ZIP________
Email___________________________________________________________________________________________________________
By giving us your email we can confirm your registration and notify you of changes, cancellations and new programs that will interest you. Your email address will not be shared with
any other organization. You will not be spammed.
Daytime Phone_________________________ Evening Phone__________________________ Cell Phone__________________________
Course#
Course Title
Make checks payable to: District 622
Charge my q
q
q
Start Date
Time
Fee
Subtotal ________________
UCare number ___________________________ UCare discount –________________
Total ________________
Card #_________________________________________ Exp____/____Signature _____________________________________________
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