register now! Online Visit www.district196.org/ce. Please add communityed@district196. org to your email address book to ensure successful delivery of your confirmation. By mail, fax or in-person For aquatics courses Aquatics Program Office, FRMS 12900 Johnny Cake Ridge Rd, Apple Valley, MN 55124 Fax: 952-431-8769 952-431-8777 for aquatics courses, or For enrichment courses Community Education 15180 Canada Ave, Rosemount, MN 55068 Fax: 651-423-7930 651-423-7920 for enrichment courses Drop off By phone Use your Visa, MasterCard or Discover and call, Mon-Fri 8am - 4:30pm Satisfaction is our goal! in our secure drop box, 24/7, located at 15180 Canada Ave, Rosemount If you are satisfied with your class, spread the word! However, please contact us if you are not satisfied with any of our classes. Registration Information Discounts Early Bird Discount Subtract $2 from each class fee if your registration reaches us or is postmarked by March 25, 2015. Exceptions include aquatics, adult cooking, adult crafts and arts, ed2go, tours, ed2go, or classes with special discounts or otherwise noted. Enter promo code EARLYBIRDS15. Senior Adults age 55 and older, may take a 10% discount on some classes. Exceptions include dance, language, tours, cooking, computer, ed2go and craft classes or otherwise noted. Call 651-423-7920 for discount. UCare Minnesota members may take a $15 discount on some classes. UCare ID number must be included on the registration form. Tuition Assistance is available for District 196 residents. Apply for assistance by calling 651-423-7920 for enrichment or 952-431-8777 for aquatics classes. Refunds Enrichment classes and tours • Full refunds will be made if your class/tour is canceled due to low enrollment, or if the class is filled before we receive your registration. • Refund requests received at least five working days prior to class start date qualify for a refund. Refund requests received with less than five working days receive account credit only. All refunds are subject to a $10 processing fee and any costs incurred (supplies, food, tickets). • Refunds are not issued after class has begun. Aquatics lessons and programs • Cancellations at least five working days prior to first class will receive program credit, less $10 processing fee. Program credit may be used for any family member. • Cancellations fewer than five working days prior to start and up to mid-point will receive program credit for half the class cost, less a $10 processing fee. No refunds or credits issued after mid-point of class. • Refunds for Red Cross courses will be subject to a processing fee; $25 for WSI, LGI, Lifeguarding, $10 for all others. Inclement Weather/Other Emergencies If District 196 schools are closed for the day, all daytime and afterschool Community Education activities are canceled. A decision about Community Education evening activities will be made mid-afternoon. For information visit www.district196.org/ce, visit District 196 Community Ed on Facebook or tune in to local radio or television stations. Photograph & Videotape Permission Enrollment in District 196 Community Education classes or activities constitutes permission for District 196 to take and use photographs, video and other likenesses of you and your enrolled minor child in District 196’s promotional materials and publications. If you do not wish for the image and likeness of you or your minor child to be used in this manner, contact the communications department at communityed@district196.org or call 651-423-7701. 84 You can register online at www.district196.org/ce or complete this form and drop off, mail or fax. Name or Parent/Guardian ___________________________________________________ Address ____________________________________________ ___________________________________________________ Home Phone (_________)_____________________________ Work Phone (_________)_____________________________ Cell Phone (_________)_____________________________ Birth date ______________________ Male Female American Indian/Alaskan Native Race: Hispanic/Latino Asian Black/African American Native Hawaiian/Pacific Islander White Email ____________________________________________ Yes Would you like to be on our email list? No Participant Name (if different than above) ___________________________________________________ Birth date ______________________ Male Female Special needs, allergies or t-shirt size (if applicable): ___________________________________________________ American Indian/Alaskan Native Race: Hispanic/Latino Asian Black/African American Native Hawaiian/Pacific Islander White Course Code ______________________________________ Title/Level __________________________________________ Location __________________ Days ___________________ Dates ______________________ Begin Time ____________ Fee Minus discount- _____________ Total $_____________ $ _____________ Check (payable to District 196) Cash Visa/MasterCard/Discover (complete below) Account Number ____________________________________ Signature __________________________________________ Exp Date _____________ CSV Code ___________________