Kennewick Community Education Registration Form

Kennewick Community Education Printable Registration Form

Use this form for Mailed or Faxed Registrations

200 South Dayton, Kennewick, WA 99336 (509) 222-5080 FAX (509) 222-5054

Click here for Secure Online Registration Form

Name Age (if under 18)
DAT ____

PYT _____

Address Work Phone
RCT _____

Home Phone
REG _____

City, State, & Zip Code

ENT _____

E-mail address

(Office Use)

Class # Class Name Class Fee

Subscription

*Total

*Please note the refund policy

Payment Method
Check One

Acct. # ______________________________________ Expires _____________________ Signature __________________________________________________________________ (For Credit Card Purchases)

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Copyright © 1997 - 2005 © Kennewick Community Education

Name	Age (if under 18)	DAT ____
		PYT _____
Address	Work Phone	RCT _____
	Home Phone	REG _____
City, State, & Zip Code		ENT _____
E-mail address		(Office Use)