REGISTRATION FORM
Complete the information below and register in person, or by telephone, mail, or
fax (see previous page for easy instructions).
NAME:
ADDRESS:
CITY: ZIP:
PHONE: EMERGENCY CONTACT NO:
EMAIL:
CLASS TITLE: CLASS NO: ROOM NO:
INSTRUCTOR: DAY: TIME:
CLASS TITLE: CLASS NO: ROOM NO:
INSTRUCTOR: DAY: TIME:
CHARGE ACCOUNT NO: EXPIRATION DATE:
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  Visa
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  MasterCard
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  Discover
❑
  American Express
AMOUNT TO BE CHARGED: SIGNATURE:
Please copy this registration form for a friend .
GENERAL INFORMATION AND POLICIES
WHO MAY ENROLL: Classes are open to all adults. Residents of other districts are welcome. There are
no additional tuition fees for out-of-district students. In accordance with Title 9, all classes are open
to men and women on an equal basis. Classes are designed for students age 18 and over. Martinez
Adult Education (MAE) classes are open to anyone without regard to race, color, religion, ancestry,
sex, national origin, physical handicap, political affiliation or belief.
FEES: Community Education Classes are supported solely by student fees. There is no charge for
students enrolling in basic education, high school credit classes, or English as a Second Language.
Some classes may have additional lab fees.
REFUNDS: Full refund if requested 2 working days (Mon. through Fri.) prior to beginning of course
($10 processing fee will apply); or if class is canceled by MAE. No refunds after class has begun. There
is a graduated refund policy for career training courses of 300 hours or more. To drop or reschedule
an 8-hour or one-day class, MAE must be notified 2 working days (Monday through Friday) prior to
start of class. Student may reschedule a class only one time with a $10 processing fee.
BOOK SALES: Some of the required/ recommended books are available on campus during the first
week of the quarter. All book sales are final.
CANCELED CLASSES: MAE reserves the right to cancel any class that does not meet minimum
enrollment standards.
CHILDREN: Children are not permitted in any MAE class except where they are a part of the class
setting.
VISITORS: Visitors must obtain a pass in the MAE office. There is a refundable $1.00 fee.
UNIFORM COMPLAINT PROCEDURES (UCP):
In accordance with state and WASC guidelines, the District has adopted Uniform Complaint
Procedures. Contact the Martinez U.S.D. Office for a copy of the policy at (925) 313-0480 Ext. 208.
Complaints not resolved through UCP may be directed to WASC at 533 Airport Blvd, Ste 200,
Burlingame, CA 94010, (650) 696-1060.
SCHOLARSHIPS: Available at MAE. Shoot the Moon–supports students graduating from Martinez
Adult High School and entering a MAE career/technical program.
See pages 46-47 for registration form/information
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High School GED registration see pages 28-29

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