Montville Adult Education Enrichment Program
Registration Form
Please Note: Advanced registration is required. If you are registering late, you must call the Adult Ed office (848 - 8265) to determine if space is still available. Thank you for your help.
Course # Title Fee
Name ____________________________ ______ _________________________ _________
Address__________________________ ______ _________________________ _________
Town/Zip__________________________ _______ _________________________ _________
Email: ___________________________ Sr. Citizen (60+ ID required) 10% discount (-) _________
Phone (hm)___________(wk)__________ Non Residents $10 fee per class (10 x #of classes) (+) _________
Fee total: = $__________
Do not include Materials Fees, if applicable. They are paid directly to the instructor.
Note: All students need to pre-register for desired classes. Classes with insufficient enrollment will be cancelled and registrants will be notified. Otherwise, assume class is occurring as scheduled.
*Please send mail-in registration and payment to Montville Adult Education, 800 Old Colchester Road, Oakdale, Connecticut 06370. Make checks payable to: Montville Adult Education