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ECFE Registration Request
for Classes
 
Family Name
    
Parent Attending 1
    
Parent Attending 2
    
Address
    
City
    
Zip
    
Phone (Home)
    
Phone (Mobile)
    
Phone (Work)
    
Email
    
  Please register ALL children (including siblings) to be cared for during class.    
Birthdate 1 (mm/dd/yyyy)
Birthdate 2 (mm/dd/yyyy)
Birthdate 3 (mm/dd/yyyy)
       
  Class Number / Day/ Time  
Choice 1
Choice 2
Choice 3
Choice 4
       
  Would you like to receive Email updates? Do you live in District 196?
Combined Family Income
Level*
    
     
Optional Comments:
     
Early Childhood
Family Education
-ECFS Home
-ECFE Home
-Upcoming Events
-ECFE Catalog
-ECFE Registration
-School Readiness
Preschool
-New Baby
-Advisory Council
-Foundation for ECFS
-Parenting Ideas

-Meet Our Teachers
-Email News Signup
-Contact/Locate Us
 
 





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15180 Canada Avenue • Rosemount MN 55068 • 651-423-7920 • CommunityEd@district196.org
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