Youth/Aquatics 2016 SUMMER

Lifelong Learning: Opportunities for All Ages | 763-502-5100 | FridleyCommEd.com

CLASS CATALOG | SUMMER 2016 1 Summer 2016 Youth & Aquatics

Children’s Horseback Riding - WEEKLONG Enrichment Boulder Pointe Equestrian Day Camps (Ages 6-18) 4-H Tech Wizards (Grades 5-8) #2240 #2200 & Event Center Classes My Little Horse Camp - (Ages 2-5) #2220 This parent/child camp will feature horse safety, learning and fun! Spend the morning learning different horse breeds, colors, and sizes. Partici- pants will help feed, care, and groom the horses of Boulder Pointe. Bring your camera to snap Join our 4-H club, Tech Wizards Filmmaking! photos during pony rides to conclude the class. This group will work with cameras, micro- Class #2220A phones and movie editing software to create date Fri/June 17 movies about themselves and their community. time 9-11 AM This summer we hope to engage our youth Site Boulder Pointe Equestrian Enjoy horses? Learn how to work with & ride in the county and state fair, where 4-H kids cost $45.00 (1 session) showcase their talents and projects. Youth will horses including balance & control in the saddle, be able to see another side of 4-H! No class July Class #2220B leading, & in-hand work then participate in fun 4, 11 or 25. date Fri/Jul 8 activities. Help to feed, water, & care for horses. dates Mon/June 13 - August 29 time 9-11 AM Camps on rain or shine! Outdoor/indoor arena time 4-6 PM Site Boulder Pointe Equestrian & miles of trails! Enjoy the bond of being able Site FCC-Room 107 cost $45.00 (1 session) to spend everyday with a special horse. Parent/ instr. 4-H - Jy Xiong guardian to drop off 9am / pick up at 3pm, each Class #2220C day Monday through Friday. cost Free (8 sessions) date Fri/Aug 5 ______Class #2240A time 9-11 AM date Mon-Fri/June 20 - 24 Driver’s Education Training (Ages 14&up) Site Boulder Pointe Equestrian #2205 time 9 AM -3 PM Don’t wait to get your license! Safeway Driving cost $45.00 (1 session) Site Boulder Pointe Equestrian School ensures student success with 30 hours of ______cost $375.00 (Early Bird - By June 1) classroom instruction (10, three-hour classes) Children’s Horseback Riding - $399.00 (Regular Price) and 6 hours of behind the wheel instruction (3 Single Day Camps (Ages 6-18) #2230 Class #2240B two-hour lessons). Students must be 14 years of date Mon-Fri/July 18 - 22 age to take the course; however, students may Enjoy horses? Learn how to work with & ride horses including balance & control in the saddle, time 9 AM -3 PM not receive their permit until they are 15 years Site Boulder Pointe Equestrian old. Affordable payment plans are available. leading, & in-hand work then participate in fun activities. Help to feed, water, & care for horses. cost $375.00 (Early Bird - By June 1) Class #2205A $399.00 (Regular Price) dates Mon-Fri/June 13-24 Camps on rain or shine! Outdoor/indoor arena time 1-4 PM & miles of trails! Class #2240C Site FMS-Room 167 Class #2230A date Mon-Fri/August 8 - 12 instr. Safeway Driveway School date Mon/June 13 time 9 AM -3 PM cost $340 (10 sessions) time 9 AM -3 PM Site Boulder Pointe Equestrian Site Boulder Pointe Equestrian cost $375.00 (Early Bird - By June 1) Class #2205B cost $95.00 (1 session) $399.00 (Regular Price) dates Mon-Fri/July 18-29 Class #2230B ______time 1-4 PM date Wed/June 15 Discover Scuba (Ages 10+) Site FMS-Room 167 time 9 AM -3 PM #2250 instr. Safeway Driveway School Site Boulder Pointe Equestrian If you have always wondered what it would be cost $340 (10 sessions) cost $95.00 (1 session) like to explore underwater, this is your chance! ______This two hour activity provides all the instruc- Summer Chess Camp (Grades K-8) Class #2230C tion and gear for your first scuba dive. The Dis- #2210 date Mon/July 25 cover Scuba Diving program is the perfect way Challenge yourself! Play Chess! Exercise your time 9 AM -3 PM to take that first step toward underwater explo- brain! This is an excellent opportunity to Site Boulder Pointe Equestrian ration. Your first breath underwater will defi- develop better Chess Skills in the summer! In cost $95.00 (1 session) nitely be one to remember. addition to playing chess in a relaxed, friendly Class #2230D setting, campers will also get to play a variety of All of the necessary equipment is included in date Wed/July 27 the price of the class. Participants go through other enjoyable board games, puzzles and sport time 9 AM -3 PM activities. Players will be divided by skill level. a series of briefings with their instructor. Af- Site Boulder Pointe Equestrian ter that, you hit the water. The time you spend Receive $5 off for registering multiple children cost $95.00 (1 session) (must call or stop in to apply discount). below is totally dependent on how quickly you Class #2210 - Summer Class #2230E breathe through your tank of air. Usually, stu- dates Mon-Thur/June 13-16 date Wed/August 3 dents spend 45 – 60 minutes below the surface. time 8 AM - 12 PM time 9 AM -3 PM date Wed/June 22 Site FCC Room 109 Site Boulder Pointe Equestrian time 6:30-8:30 PM instr. Twin Cities Chess cost $95.00 (1 session) Site FMS-Pool cost $80.00 (4 sessions) instr. Midwest School of Diving Class #2230F cost $21 (1 session) date Thur/August 4 time 9 AM -3 PM Site Boulder Pointe Equestrian cost $95.00 (1 session)

CLASS CATALOG | SUMMER 2016 2 Summer 2016 Youth & Aquatics

NEW-Scuba Diving Certification (10+) Beginning Band: Summer Bootcamp (Grades (Grades 2-12) #2260 5-8) #2715 PADI Scuba Diving certification includes #2420 Compared to club prices, this program is a home-study, classroom and pool instruction, Are you interested in being in Band in Middle bargain. Anthony Branitski is a club profes- followed by a sequence of open water dives. School? Now’s your chance to try it out! See sional instructor as well as the Fridley Varsity This course is the classroom and pool portion Schedules below and be sure to sign up for Boys’ Tennis Coach. He will instruct students in and will include learning such skills as basic the class that indicates the instrument you are all aspects of tennis from stroke improvement, maintenance of your gear, use of the equip- playing. Lessons will cost $70 for (5) 60 Minute agility and fitness to tennis match strategy. ment, entering and exiting the water, and safety Lessons. This camp will benefit both the beginner and procedures. All equipment is provided and Class #2420A (Percussion) accomplished tennis player. Bring a racket if the course includes a divers manual and DVD date Mon-Fri/August 15 - 19 you have one, if not we can supply one for use. for home study. Divers manual review and time 2-3 PM Each camp participant will also receive a punch chapter summaries will need to be completed Site FMS-Room 160 (Band Room) pass good for (5) FREE Fridley Tiger sporting prior to the start of class. To complete your instr. Blair Berger events. Rainouts will not be rescheduled. If ever PADI certification, part 2 includes open water cost $70.00 (5 sessions) in doubt due to weather please call the Tennis dives that must be scheduled separately by Hotline: (763) 502-5112 - 30 minutes before the instructor, at an additional cost. Bring a Class #2420B (Brass) class. (Campers that qualify for free or reduced swimsuit and towel for each class. Registra- date Mon-Fri/August 15 - 19 lunch are eligible for a 50% fee reduction) No tion deadline for the course is July 1st. time 3-4 PM class July 4-6. date Mon/July 18 & Wed/July 20 Site FMS-Room 160 (Band Room) Class #2715A (Gr. 2-4) time 6:30-8:30 PM instr. Blair Berger dates Mon-Wed/June 13 - July 20 Site FCC-Room 107 (July 18) cost $70.00 (5 sessions) time 10:30-11:30 AM FMS-Pool (July 20) Site FHS-Tennis Courts instr. Midwest School of Diving Class #2420C (Flute/Oboe) cost $75.00 (15 sessions) cost $112 (2 sessions) date Mon-Fri/August 15 - 19 ______time 4-5 PM Class #2715B (Gr. 5-8) Site FMS-Room 160 (Band Room) dates Mon-Wed/June 13 - July 20 instr. Blair Berger time 12-1:30 PM Dance cost $70.00 (5 sessions) Site FHS-Tennis Courts Fridley Area Just For Kix cost $110.00 (15 sessions) Class #2420D (Clari/Sax) Class #2715C (Gr. 9-12) date Mon-Fri/August 15 - 19 dates Mon-Wed/June 13 - July 20 time 5-6 PM time 9-10:30 AM Site FMS-Room 160 (Band Room) Site FHS-Tennis Courts instr. Blair Berger cost $110.00 (15 sessions) Experience the positive teaching strategies and cost $70.00 (5 sessions) ______team-based performing environment at Just For ______Football Skills Camp (Grades 1-8) Kix! Since 1981, JFK has been offering dance #2735 classes for all ages, and of all levels of dance ex- Players will learn the basic fundamentals of perience. Core classes include dance basics & Sports & Fitness football through special drills and direct in- technique, stretching, routines (older classes are struction from Fridley football coaches and var- in kick/precision style) & focus on performance Club (Grades 5-12) sity players. We will incorporate the fundamen- ability. We also offer full year jazz classes, short- #2725 tals of offense, defense, and special teams. There er sessions of hip hop and lyrical. Older classes Led by the coaching staff of Fridley Girls’ and will be games and activities that create a great also have the opportunity to compete. All classes Boys’ Swimming teams, this is a club where atmosphere for youngsters to learn the game of held at the Fridley Middle School in the cafeteria competitive swimming is the focus. All com- football and have FUN! All participants will and choir room. petitive strokes will be taught with an emphasis receive a t-shirt! on individual improvement. Attendance is not For more info on summer and fall required. The Swim Camp is included with Contact Information: offerings contact: registration. No class July 4-7. Justin Reese: (832) 528-6371 Emily Fausher dates Mon-Thur/June 13 - July 28 John Swanson: (763) 232-5758 Phone: 612-418-9138 time 4:30-6:30 PM Email: [email protected] Site FMS-Pool dates Wed & Thur /August 17 & 18 Website: www.justforkix.com/danceclasses/ cost $130.00 (24 sessions) time 6:30-8:00 PM fridley_mn ______Site FHS-Football Practice Field ______Swimming Camp (Grades 5-12) cost $20 (individual registrants) #2727 $0 (must be registered for Led by the coaching staff of the Fridley Girls’ Fridley Youth Football) Music and Boy’s Swimming Team this Camp will work ______Beginning Band: Private Lessons (Grades Summer League (Ages 9-18) 5-8) to improve participants competitive swimming skills and techniques. We will cover all four of Summer Golf League will be held at Cen- #2430 terbrook Golf Course in Brooklyn Center Private 20 Minute Band Lessons for students the competitive strokes (butterfly, backstroke, breaststroke, and freestyle) with drills and dem- on Wednesdays beginning June 18 running who play specialty instruments (French Horn through August 20. It will cost $10.50 a week or Oboe) along with other students who would onstrations. Participants will gain a working knowledge of good stroke technique and will with an option to receive 3 weeks of 1 hour golf like a private lesson in place of or in addition to instruction, plus one round of 9-hole golf for the Spring or Summer Bootcamp. Lesson will hone existing skills. dates Mon-Thur/July 18 -21 $11 a week. Contact Pat Barrett, Fridley High scheduled from 8:00 AM to Noon by instructor. School Girls’ Varsity Girls’ Coach, at (763)- No class June 28. time 3-6 PM Site FMS-Pool 502-5719 or [email protected] dates Tue/June 14 - July 26 for more details and registration information. time By Appointment cost $55.00 (4 sessions) cost $90 (6 Sessions)

CLASS CATALOG | SUMMER 2016 3 Summer 2016 Youth & Aquatics

Future Tigers Boys’ and This camp is designed to build on the funda- Girls’ Basketball (Grades 1-4) mentals that players have gained through previ- SWIMMING #2720 ous camps and team play. Players will continue to build the fundamentals needed to be success- Students must provide their own suits and tow- ful in as well as learn more advanced els. Goggles and pool shoes are optional. It is skills needed for the next level. Students will advisable to leave valuables at home. All classes also break of into ability groups and work on must meet a minimum of 3 students in order to advanced skills as appropriate. run. Classes that don’t meet the minimum may be combined with the same level at another time Guest Coach Info - Leesa Hulstrand – Univer- or may be cancelled. Student to teacher ratio is sity of Northwestern St. Paul. Leesa will be a 6:1 unless otherwise specified. sophomore at the University of Northwestern St. Paul. She went to Eden Prairie High School Each student will learn the basic fundamentals where her team won state her junior year and CLASS DESCRIPTIONS of the game: Running, pivoting, passing, ball was runner up as a senior. She was a right side handling, catching, jumping, and shooting. hitter in high school and is currently setting in Young Swimmer Lessons There will be a lot of shooting and dribbling college. Leesa played club volleyball at Eden (Ages 6 month to 6 years) games along with games of 1 on 1 up to 4 on Prairie, Crossfire, and M1’s. These lessons are specifically catered to younger 4. The High School Boys’ and Girls’ Varsity Class #2730 (Gr. 5-12) ages. All of our young swimmer lessons are 25 Coaches, Jim MacDonald, Erik Redepenning dates Mon-Thur/June 13 - 16 minutes in length and have two instructors for along with assistant coaches will run camp time 1:30-3:30 PM more individualized attention. If you have any along with current varsity players. Each student Site FMS-Gym questions about these lessons please call 763- will receive a camp shirt and basketball prizes. cost $35.00 (4 sessions) 502-5106. Participants will receive a Fridley (5) game ______punch pass to get into any high school game free! Parent & Child Class #2720A (Gr. K-2) (Ages 6 months - 4 years) dates Mon-Thur/June 13 - 16 Theatre Arts Provides students an entry into aquatics and time 9-10:30 AM Fridley Community Theatre: teaches parents basic skills for working with Site SES-Gym Youth Production (Ages 9-15) children in an aquatic environment. This course cost $15.00 (4 sessions) #2805 emphasizes basic water safety and self-help skills in a relaxed and playful manner, using games Class #2720B (Gr. 3-4) and songs. Students will learn safety entry and dates Mon-Thur/June 13 - 16 exits to and from the water as well as to sub- time 10:30 AM - 12 PM merge their mouth, nose and eyes in the water. Site SES-Gym Parents please note: plastic pants with tight elas- cost $15.00 (4 sessions) tic around the leg must be worn in addition to a ______swim diaper or suit. A parent MUST accompany Tiger Boys’ and Girls’ Basketball (Grades 5-8) their child in the water. Student/teacher ratio is #2722 10:2. This camp will stress fundamentals, individual Fridley Community Theatre’s 2016 summer basketball skills, shooting form, passing, screen- Youth Production is Roald Dahl’s Willy Wonka Preschool (Ages 3-4) ing, cutting, and ball handling. Team play Jr. Students will learn music, dialogue and In this introductory class, students will learn will consist of games of 2 on 2 up to 5 on 5 choreography for a fully staged production with to enter safely into the pool, to blow bubbles transition games. We will have varsity coaches, set, lights and costumes. Everyone who enrolls through their mouth and nose, to submerge former players and college coaches working the will perform on stage. Participants will audition their eyes, nose, and mouth in the water, to float camp. All campers will receive a camp shirt and for cast roles during the first day of the class. on front and back, to use arm and leg actions, prizes. Performances will be on Friday, July 8 at 7:00 and water safety. Student/teacher ratio is 6:2. Class #2722A (Gr. 5-6) pm and Saturday, July 9 at 2:00 pm. Due to dates Mon-Thur/June 13 - 23 construction at the Fridley High School, per- Level 1 - Introduction to Water Skills (5/6 yr time 9-10:30 AM formances will occur at Spring Lake Park High olds only) Site FMS-Gym School Fine Arts Center. Swimmers learn to submerge mouth, nose, and cost $35.00 (8 sessions) eyes; float on front and back; swim on front and Please bring a snack to each rehearsal. At- back using arm and leg action; tread water; and Class #2722B (Gr. 7-8) tendance is expected at every rehearsal. Due water safety. Students must be five years old to be dates Mon-Thur/June 13 - 23 to the small number of rehearsals, missing any in Level 1. Student/teacher ratio is 6:2. time 10:30 AM - 12 PM hurts the student’s performance and hinders the Site FMS-Gym momentum of the production. If you anticipate Regular Lessons (Ages 5 and up) cost $35.00 (8 sessions) any absence from the rehearsals or will miss a ______performance, please contact Rachel Cathey at Level 1 - Introduction to Water Skills Fridley Girls Summer [email protected] or Dan Wold Swimmers learn to submerge mouth, nose, and Volleyball Camps (Grades 5-12) at [email protected] to ensure that eyes; float on front and back; swim on front and #2730 your plans do not conflict with the needs of the back using arm and leg action; tread water; and This is a great introduction to begin and con- production. water safety. Students must be five years old to tinue learning the game of volleyball. We will No class July 1, 4 and 5. be in Level 1. have varsity coaches, former players and guest dates M,T,W,F/June 13-24 coaches working the camp. All campers will M-Th/June 27-30 Level 2 - Fundamental Aquatic Skills receive a camp shirt and prizes. Players should W-F/July 6-8 Swimmers learn to jump from side of pool, roll dress accordingly; tennis shoes, shorts, and a time 12:30-4 PM over from front to back, tread water, swim on t-shirt (NO TANK TOPS!). Players should also Site Stevenson Elementary side, and swim on front and back using com- bring a water bottle. Participants will receive instr. Rachel Cathy bined strokes. a Fridley (5) game punch pass to get into any cost $75.00 (15 sessions) high school game free!

4 FRIDLEY COMMUNITY EDUCATION | 763-502-5100 | FridleyCommEd.com Summer 2016 Youth & Aquatics

Female Only Lessons: Session 3: Mon – Thurs, July 25 – August 4 CLASS DESCRIPTIONS continued (8 sessions) Level 3 - Stroke Development Fridays, July 29 – August 19 (4 sessions) Regular Lessons (Ages 5 and up) Swimmers learn to jump into deep water, diving Class Time: 40 Minutes Cost: $62 from kneeling and standing, survival float and Class Time: 40 Minutes Cost: $31 back float, front and back crawl, and water safety. 9:35-10:15am Female Only Lessons #3091D 9:30–10:10am 10:15–10:55am Level 1 #3001N Level 1 #3001O Level 4 - Stroke Improvement Female Only Lessons #3091E ______Level 2 #3002N Level 2 #3002O Students will learn to swim under water utiliz- Level 3 #3003H Level 4 #3004F ing the front crawl and backstroke open turns, SUMMER 2016 SWIM SCHEDULE survival swimming, treading water, and water 11–11:40am 11:45am–12:25pm safety. They will also learn the basics of these Daytime Lessons Level 2 #3002P Level 3 #3003J strokes: breastroke, sidestroke, and butterfly. Level 3 #3003I Level 5/6 #3056D Level 4 #3004G Level 5 - Stroke Refinement Session 1: Mon/Tue/Thur/Fri, June 20 – July 1 (8 sessions) NO Wednesdays These lessons teach further coordination and Young Swimmer Lessons refinement of strokes. Swimmers learn the front Regular Lessons (Ages 5 and up) Class Time: 40 Minutes Cost: $62 (Ages 6 month to 5 years) flip turn, backstroke flip turn, breaststroke, but- Class Time: 25 Minutes Cost: $52 terfly, sidestroke, and water safety. 10:15–10:55am 11–11:40am 11:45–12:10am 12:15-12:40 Level 6 - Skill Proficiency/Fitness Swimmer Level 1 #3001G Level 1 #3001H Level 2 #3002G Level 2 #3002H Preschool #3008H Level 1 (5&6 only) #3001P These lessons refine the strokes so students swim ______them with ease, efficiency, power, and smooth- Level 3 #3003E Level 5/6 #3056C ness over greater distances up to 100 yards. Stu- Level 4 #3004D Level 7 #3007A Evening Lessons dents will swim to improve their fitness level as they refine their strokes. 11:45am–12:25pm Level 1 #3001I Session 1: Tue & Thur Nights Level 7 - Competitive Swimmer June 21 – July 21 (8 sessions) Development Course Level 2 #3002I Level 3 #3003F NO CLASS July 5 or 7 This course will focus on getting you prepared Regular Lessons (Ages 5 and up) to take the next step to competitive swimming Class Time: 40 Minutes Cost: $62 or get you ready for the next swim season. All Young Swimmer Lessons competitive strokes will be taught and individual (Ages 6 month to 5 years) Class Time: 25 Minutes Cost: $52 6:30-7:10pm 7:15-7:55pm improvement will be the focus. We will work on competitive swimming skills like stroke tech- Level 1 #3001Q Level 1 #3001R niques, endurance, starts, and turns. Student/ 11-11:25 11:30–11:55am Preschool #3008D Preschool #3008E Level 2 #3002Q Level 2 #3002R teacher 15:1. Level 3 #3003K Level 4 #3004H 12-12:25 Female Only Lessons Level 1 or 2 Young Swimmer Lessons These lessons are reserved for women who, due Preschool #3008F ______(Ages 6 month to 5 years) to religious considerations, require a female only Class Time: 25 Minutes Cost: $52 environment for swimming. To determine if you Session 2: Mon/Tue/Thur/Fri, July 11 – 22 should be in Female Only Level 1 or 2, please (8 sessions) NO Wednesdays Regular Lessons (Ages 5 and up) 6:30-6:55pm 7:00-7:25pm see descriptions for Swimming Lessons Level 1 Parent/Child #3000C Preschool #3008I & 2 as these are the basic skills taught in Female Class Time: 40 Minutes Cost: $62 Only Level 1, see Levels 3 and above as these are 7:30-7:55pm the basic skills taught in Female Only Level 2. 9:30–10:10am 10:15–10:55am Level 1 #3001J Level 2 #3002K Level 1 (5&6yr olds only) #3001S ______Semi-Private or Private Lessons Level 2 #3002J Level 3 #3003G Level 7 #3007B Level 4 #3004E Session 2: Tue & Thur Nights, These lessons will be available for those interest- July 26 – August 23 (8 sessions) ed in more focused swim lesson. Instructors will NO CLASS Aug 9 cater the class to meet specific student needs and 11–11:40am 11:45am–12:25pm Level 1 #3001K Level 1 #3001L Regular Lessons (Ages 5 and up) abilities. Please call 763-502-5106 to schedule a Class Time: 40 Minutes Cost: $62 semi-private or private lesson. Level 2 #3002L Level 2 #3002M Level 5 #3005A Level 6 #3006A ______6:30-7:10pm 7:15-7:55pm Open Swim Young Swimmer Lessons (Ages 6 month to 5 years) Level 1 #3001T Level 2 #3002T Regular Open Swim Class Time: 25 Minutes Cost: $52 Level 2 #3002S Level 4 #3004I Monday, Tuesday, Wednesday (through June Level 3 #3003L Level 5/6 #3056E 29), Thursday & Friday, 1-3pm 11:45–12:10am 12:15-12:40 June 20 – August 19 Preschool #3008H Level 1 (5&6 only) #3001P Young Swimmer Lessons (No Open Swim June 22 or July 4 – 8) (Ages 6 month to 5 years) $3/person, $9/family Class Time: 25 Minutes Cost: $52 (Family of 6, must include 1 adult) 6:30-6:55pm 7:00-7:25pm ______Parent/Child #3000D Preschool #3008J Female Only Open Swim 7:30-7:55pm Wednesdays, July 13 – August 17, 1-3pm Level 1 (5&6yr olds only) #3001U Fridays, July 29 – August 19, 10:30am- 12:30pm $3/person, $9/family (Family of 6, must include 1 adult)

CLASS CATALOG | SUMMER 2016 5 Register

Where to Register? Class Registration Policies Online Fees To register online, visit our website Fees must accompany your registration. You may pay with cash, http://fridley.feepay.com and select the Community Educa- check (Please make all checks out to ISD #14), or Visa/Master- tion tile that corresponds to the programs or classes you are Card/Discover credit cards. interested in. Cancellations If you need assistance in setting up your account, please call Fridley Community Education reserves the right to cancel classes due to lack of enrollment or emergencies. 763-502-5100. Refunds In Person or by Mail • Refunds minus a $5 processing fee will only be issued if Register in person or by mail at the location below: requested one (1) business day prior to the start of the first day of class. No refunds will be given after a class has Fridley Community Center started. 6085 Seventh St. NE • For classes and tours that have a published cancellation deadline, no refunds or credits will be issued after the speci- Fridley, MN 55432 fied dates. • Full refunds or credits are issued if Community Education Office Hours cancels a class or tour, or the class or tour is already filled. Monday – Friday, 8:00 am – 4:00 pm Satisfaction Guaranteed Phone Call us if you are not satisfied with any Community Education class. Phone in registrations are possible when paying with Master- Card, Discover, or Visa. 763-502-5100 Registration Form Name ______Address ______City ______Zip ______Home Phone ______Daytime Phone ______E-mail Address ______Driver’s License # for Defensive Driving courses ______Registering: ☐Self ☐Child ☐Family (Family’s last name ______) Please provide names and ages of child/children being registered: Name ______DOB ______Grade______Name ______DOB ______Grade______Name ______DOB ______Grade______Name ______DOB ______Grade______

Class Number Class Title Price

UCare Discount ($15/class) ID# ______- Total Due: $ Payment Information: ☐Check enclosed (payable to ISD 14) Charge My: ☐Visa ☐Mastercard ☐ Discover Card Number: ______Expiration Date: ______Signature ______CONFIRMATION Consider yourself registered for the classes that you have signed up for. Confirmation notice will only be sent to you via a valid email address on file. You will be contacted if the class is full or cancelled.

6 FRIDLEY COMMUNITY EDUCATION | 763-502-5100 | FridleyCommEd.com