ADULT EDUCATION PROGRAM - Glen Cove City Schools
ADULT EDUCATION PROGRAM - Glen Cove City Schools
ADULT EDUCATION PROGRAM - Glen Cove City Schools
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Please fill out registration form completely and mail to:<br />
Adult Education, <strong>Glen</strong> <strong>Cove</strong> <strong>City</strong> School District Thayer House,<br />
Dosoris Lane, <strong>Glen</strong> <strong>Cove</strong>, NY 11542<br />
Name<br />
(Please print) Last First<br />
Address<br />
Town<br />
Adult Education Registration Form<br />
Tel. #: Home<br />
Work/Cell<br />
Email:<br />
Course 1<br />
Course 2<br />
Course 3<br />
Course 4<br />
Course 5<br />
Senior Discount<br />
(65 and over - $20 per course)<br />
Day of Week<br />
Day of Week<br />
Day of Week<br />
Day of Week<br />
Day of Week<br />
Total Amount Enclosed<br />
Time<br />
Time<br />
Time<br />
Time<br />
Time<br />
All non-lecture courses are $45 per course; $70 for two courses; $90 for three courses.<br />
Multiple course discount does not apply to senior citizens, who are already discounted.<br />
Please use copies of this form if more than one person in your household is enrolling.<br />
PLEASE BE ADVISED THAT PHOTOS MAY BE TAKEN DURING CLASSES FOR PROMOTIONAL<br />
PURPOSES. IF YOU DO NOT WISH TO BE PHOTOGRAPHED, PLEASE INFORM YOUR INSTRUCTOR.<br />
A confirmation will be sent by mail.<br />
PLEASE SEND A SEPARATE REGISTRATION FORM FOR EACH PERSON &<br />
SEPARATE CHECK MADE PAYABLE TO THE GLEN COVE CITY SCHOOL DISTRICT<br />
20
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