DO NOT SEND CONFIRMATIONS

Pre-Registration Form

Begin the week of January 6, 2002

Pre registration is encouraged

Name_______________________________

Address_____________________________

City & Zip___________________________

Phone (Home)________(Work)__________

Must include payment with registration!

Class Name        Reg. #            Fee

1)_______________ ___________ $_____

2)_______________ ___________ $_____

3)_______________ ___________ $_____

Make checks payable to Adult Education

Total amount of check enclosed $ _____

No refunds after first class

Pre-registration is for Vocational and   

Community Interest only!

For more information, call 635-6810

Mail registration & checks to:

Adult Education School

10850 Gadsten Way 

Rancho Cordova, CA

95670