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