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Name:______________________________________________________________
Address:____________________________________________________________
City:____________________________________
Zip:_______________________
Telephone:
(home) ____________ (work)_____________ [cell]
_________________
Email
address:________________________________________________________
Course
Title:_____________________________
Start Date:___________ Fee
____
Course
Title:_____________________________
Start Date:__________
Fee ____
Course
Title:______________________________
Start Date:__________ Fee ____
REGISTRATION FEE:
Total: __________
Check:______________ preferred Cash:_____________
Gift Certificate ________
GAP -
check here if you are registered for GAP: ______
[Golden Age Pass GAP
- district residents age 55+, all HCSD employees, VEPTO/PTSO
volunteers]
Do NOT
include supply fee.
ALL SUPPLY FEES WILL BE
COLLECTED BY THE INSTRUCTOR. Do NOT use this form for Driver
Education:
www.hilton.k12.ny.us/driver-education.htm
Please be
sure to include payment and list your preferred phone
number. No extra fee for out-of-district residents. No
receipt mailed. You are contacted only if class is
cancelled.
Please
mail to: Hilton Community Education,
225 West Ave.,
Hilton, NY 14468
For
further registration information: CE Registrar: 585-392-1000
ext. 7044
Online
Catalogue:
www.hilton.k12.ny.us/community-education.htm
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