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EHPS Adult Ed Registration Form
Payment is due first class (Unless Yoga, you will need to pre-pay to be enrolled in class). Checks or Cash only. Checks payable to EHPS#9 Adult Ed. Please mail payment to EHPS, Brenda Stoltz, Adult Ed, PO Box 1280, East Helena, MT 59635 or drop it off at East Valley Middle School, 401 East Kalispell, East Helena.
Course Title (Please fill out one form per class - per person).
Course Title (Please fill out one form per class - per person).
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First Name and Last Name
First Name and Last Name
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Address (include City, State and Zipcode)
Address (include City, State and Zipcode)
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Phone: Please indicate cell or landline.
Phone: Please indicate cell or landline.
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Email
Email
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Are you over the age 16?
Are you over the age 16?
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Yes
No
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