REGISTRATION FORM

Please complete form and mail or bring (any day) with payment to:

Cinnaminson Township Board of Education

Administration Offices

2195 Riverton Rd.

PO Box 224

Cinnaminson, NJ 08077
Attn: Lorraine Zona

Or pay in person on Wednesday, September 10, 2008, from 4:00-5:00 p.m. in the Administration Offices.

 

NAME:                      ____________________________________________

 

 

ADDRESS:               ____________________________________________

 

 

CITY/STATE:            ________________________ ZIP ________________

 

 

HOME PHONE:        ____________________________________________

 

 

WORK PHONE:        ____________________________________________

 

 

E-MAIL:                    ____________________________________________

 

 

COURSE # & TITLE: ____________________________________________

 

 

DAY:               ______________________           TIME:  ____________________

 

 

ROOM #:        ______________________           *FEE:  ____________________

 

Make check payable to: Cinnaminson Township Board of Education

Full fee must accompany course selection.  No fees will be refunded after the first meeting of the class.

*Cinnaminson senior citizens (age 60 or older) with proof of age and residency should deduct the $10.00 course selection fee cost unless otherwise noted in this brochure.

 

1.   Enrollment is limited.  Registrations are accepted in the order in which they are received.

2.      The fee shown includes tuition and a registration fee of $10.00.  The fee must be paid at the time of registration either by mail or in person (any day) on Wed., Sept. 10 from 4:00 - 5:00 p.m., in the Administration Offices.

3.  Unless you are notified to the contrary, please report to the classes for which you have registered without further notification from the Cinnaminson Township School Community Adult Education Outreach Program.