CLASS REGISTRATION FORM

 

NAME:___________________________________________________

ADDRESS: _______________________________________________

CITY: _________________________ PHONE: ___________________

MEMBER - YES ______ NO ______ MEMBERSHIP # _____________

CLASS(ES): ______________________________________________

CHEQUE ____ CASH ____ VISA or M.C. ____ AMOUNT $ __________

REFUND POLICY: No refunds - unless class is cancelled.

 

EXCEPTION: Due to extreme illness or injury, refund on a prorated basis les $25 administration fee.

 

REGISTRATION FOR PART SESSIONS: You may register for at least one half of the class (if class is not full) day before class starts.

 

In consideration of my acceptance for enrollment in St. Albert Senior Citizens' Club classes, I release the Club and employees from any and all liabilities for any injuries or damages I may suffer from my participation in the classes.

SIGNATURE: _____________________________________________

DATE: _________________________

Please fill out, sign and date, then mail to:

St. Alberta Senior Citizens' Club
7 Tache Street
St. Albert, Alberta T8N 2S3
phone: (780) 459-0433

A MAN IS A SUCCESS IF HE GETS UP IN THE MORNING AND GOES TO BED AT NIGHT AND IN BETWEEN DOES WHAT HE WANTS TO DO!