spRing / summeR 2010
escondido Adult school RegistRAtion foRm
Last Name
Please Print
First Name Middle
Adult Education Classes
Ethnic Group

Birthdate
1. Fax 760-739-7310
//
Asian
Pacific Islander
Black
White
2. Mail
Hispanic
Female Male
Middle Eastern ORM
3. Walk in
Email
Other
F
4. Online -Go to www.escondidoadultschool-rop.org

- Click Classes or open On-line catalog



-Click Adult Education or Community Education
Address Street
- Click on the class of your choice and follow
the registration instructions
City Zip Code
EGISTRATION
ROP Classes Register online by going to
R
Home Phone Number
www.escondidoadultschool-rop.org
Some ROP classes are OPEN Entry / OPEN Exit
registration is ongoing for those classes
Work Phone Number Extension


DO NOT USE the form on pag

e 5 for ROP classes

Spring Course # Title Fee
Summer Course #
Title Fee
cuRRently enRolled high school students may attend academic
classes on a space-available basis; however, they are not permitted to at-
tend the following adult education courses: older adult classes, home eco-
nomics classes, health and safety classes, or career technical education Total $
classes unless the vocational program is not offered at the high school.
Please enclose payment with your registration. If registering by fax, 760-739-7310, you
Currently enrolled high school students must obtain an adult school permission form must pay by credit card. If using U.S. mail, you may pay by check or credit card. Do not
from their assistant principal, and after it is filled out and signed by all parties, it
mail cash. Your signature is required regardless of payment method. Make checks payable
should be taken to the adult school office on Mary Lane prior to the start of classes.
to Escondido Adult School. There will be a $25 charge for all returned checks.
Payment Method
Credit Card #:
cAncellAtion / Refund policy: You may cancel enrollment up to 24 hours
Cash
before your class begins. A $5 processing fee is retained for each refund. If the Adult
Check (enclosed)
School cancels a class, all fees are returned at no charge. Refunds for cancellations
Visa Expiration (Mo/Yr)
may take 4-6 weeks to process. Unused attendance is not transferable to another
MasterCard
session and no cancellations are accepted after the class begins even if you have
Amex
/
not attended. There will be absolutely no refunds after the first class meeting.
LIABILITY WAIVER: By signing below, the student agrees that neither Escondido Adult School nor
its employees shall be liable for any and all injuries, loss, or other damages that may be suffered by
student by reason of voluntary participation in class activities. 44325
Signature (required) Date
no confiRmAtion notice will be sent
5
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