Print, complete and clip to 3-3/4" X 8-1/2" (along the dotted lines
for the full width of the page)
and drop off at Registration Night.
One form is required for each program requested.

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               City Wide Community Program Registration Form
By filling out this registration form you are not guaranteed a place in the class.
YOU ARE NOT REGISTERED IN THE CLASS UNLESS YOU ARE CALLED BY THE
COMMUNITY ASSOCIATION OFFERING THIS PROGRAM.  You will only be contacted
by the sponsoring Community Association, if you are accepted in the class.
 
Please remember the program contacts are volunteers.  Your consideration is appreciated.

Program Name:__________________________________________________________________________________________

Program Day/Date/Time:__________________________________________________________________________________

Sponsoring Community Association/Zone:_____________________________________________________________________

Registrant's Name:  Age (if applicable):_______________________________________________________________________

Phone No: H:____________________________ B:_____________________________ C:____________________________

E-mail address:_________________________________________________________________________________

Community you reside in:________________________________________________  Membership No.________________
--------------------------------------------------------------------------------------------------------                      
City Wide Community Program Registration Form
By filling out this registration form you are not guaranteed a place in the class.
YOU ARE NOT REGISTERED IN THE CLASS UNLESS YOU ARE CALLED BY THE
COMMUNITY ASSOCIATION OFFERING THIS PROGRAM.  You will only be contacted
by the sponsoring Community Association, if you are accepted in the class.
 
Please remember the program contacts are volunteers.  Your consideration is appreciated.

Program Name:__________________________________________________________________________________________

Program Day/Date/Time:__________________________________________________________________________________

Sponsoring Community Association/Zone:_____________________________________________________________________

Registrant's Name:  Age (if applicable):_______________________________________________________________________

Phone No: H:____________________________ B:_____________________________ C:____________________________

E-mail address:_________________________________________________________________________________

Community you reside in:________________________________________________  Membership No.________________


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