Register Now! Online Visit www.district196.org/ce

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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 phone
Use your Visa, MasterCard or Discover and
call, Mon-Fri 8a - 4:30p
952-431-8777 for aquatics courses, or
651-423-7920 for enrichment courses
By mail, fax or in-person
For aquatics courses
Aquatics Program Office, Falcon Ridge MS
12900 Johnny Cake Ridge Rd., Apple Valley, MN
55124
Fax: 952-431-8769
For enrichment courses
Community Education
15180 Canada Ave., Rosemount, MN 55068
Fax: 651-423-7930
Drop off in our secure drop box, 24/7, located at
15180 Canada Ave., Rosemount
Satisfaction is our goal!
If you are satisfied with your class, spread the word! However, please contact us if you are not satisfied with any of our classes.
Discounts
Early Bird Discount Subtract $2 from each class fee if your registration
reaches us or is postmarked by April 3, 2013. Exceptions include aquatics,
tours, Ed2Go, classes with special discounts or otherwise noted. Enter
promo code EARLYBIRDS13.
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 days prior to class start date
qualify for a refund. Refund requests received with less than five 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 after-school
Community Education activities are canceled. A decision about Community
Education evening activities will be made mid-afternoon. For information
visit www.district196.org/ce, call the information line at 651-423-7777
or tune in to local radio or television stations.
Photographing & Videotaping 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.
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
Race: Hispanic/Latino
Black/African American
American Indian/Alaskan Native
Asian
Native Hawaiian/Pacific Islander
White
Race: Hispanic/Latino
Black/African American
American Indian/Alaskan Native
Asian
Native Hawaiian/Pacific Islander
White
Email ____________________________________________
Would you like to be on our email list?
Yes
No
Participant Name (if different than above)
_________________________________________________
Birth date ______________________
Male
Female
Special needs, allergies or t-shirt size (if applicable):
_________________________________________________
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 _________________ _____
67
Category
Registration Information
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