Lisbon Adult and Community Education

Registration Form

You can register three ways:

1. Mail-in registration. Complete and mail registration form, with a check payable to Lisbon Adult Education, 591 Lisbon Road, Lisbon Falls, Maine 04252.
2. Walk-in registration: Begins August 25, 2008. Complete this form and bring it in. We are located on the ground floor of Lisbon High School.
3. Phone-in registration: Begins August 25, 2008 for Free classes and those under $5 only.

Semester Fall Year 2008

Courses(s): ____________________________________________________

Name: ________________________________________________________

Address: ______________________________________________________

______________________________________________________________

PHONE (Home):__________________(Work):_________________Child’s Age:________

Are you 21 years old or older Yes No If NO, Date of Birth ____________

Registration Fee:________________

Non Resident Fee:______________

Senior Discount_________________

Total Amount Due_______________