HCSD

HCSD Home

Hilton CSD Community Education Registration Form
Name:_____________________________________________________  

Address:___________________________________________________  

City:____________________________________   Zip:______________  

Telephone: (home) _________________  (cell)____________________  

Email address:_______________________________________________  

Course Title: ____________________________________Start Date____________ Fee _______  

Course Title: ____________________________________Start Date____________ Fee _______  

Course Title: ____________________________________Start Date____________ Fee _______                                                                                                              
REGISTRATION FEE ENCLOSED:
Check:______________ preferred     Cash:_____________  Gift Certificate _______________  
Check here if you are registered for GAP:______ [Golden Age Pass GAP - district residents only]
To register for GAP - age 55+ and HCSD residents only -call 585-392-1000 ext. 7044 
Kayak course only: I will bring my own kayak ______ [check indicates 'yes']  
Do NOT include supply fee. ALL SUPPLY FEES WILL BE COLLECTED BY THE INSTRUCTOR.  
Please be sure to include payment and list your current phone number. Do not use this form for Driver Education.  
ONLINE EDITION CATALOGUE OF COURSES: www.hilton.k12.ny.us/community-education.htm