Memphremagog Community Learning Centre

2018 Fall Adult Education Classes

Registration Form



For more information on Adult evening classes or the Memphremagog Community Learning Centre, visit our Web site.

Cliquez ici pour compléter le formulaire en français


First name:
City:
Age: Gender:
Telephone:  
Course:
Are you a returning student?
Do you plan to attend the final night celebration (November 14, 7:30-9 p.m.)?
Food allergies or restrictions?
If yes, please list them:   
Number of kids needing a babysitter (please only one parent answer)?   
We would suggest a $3 donation per night if you are benefitting from our babysitting services, to help offset the cost.
Do you have difficulty climbing stairs?
Are you interested in volunteering at the CLC and/or Community Night School?
From time to time, photographs of our learning centre and its students may be taken. I understand this and agree to let myself be photographed and to having my photograph used for any lawful purpose such as publicity, advertising or web content.
Accept photo terms and conditions?