Class Registration Form
Name:
Contact Number:
E-mail Address:
Name of Class
Date of Class:
Session:
AM
PM
Other:
U.S.D. 261 Employee?
Yes
No
If yes, where do you work?:
Select A Building
Administration Building
Alternative High School
Campus High School
Haysville Middle School
Haysville West Middle School
Freeman Elementary
Learning Center
Learning By Design
Maintenance
Nelson Elementary
Oatville Elementary
Prairie Elementary
Rex Elementary
Ruth Clark Elementary
TriCity Day School
Transportation
Other:
I teach grade(s)
If no:
Place of Employment:
Address:
Address of Employment
City
State
Zip
Payment Type:
Check
P.O.
Information will be sent to THE LEARNING CENTER
