YEAH ADULT EDUCATION Workshop Registration Form

Print registration information below clearly and legibly with Blue or Black ink please.

This form was revised 9-18-08

Name of Adult Workshop Attendee: ________________________________________________________

Name of Spouse and/or Teen Workshop Attendee: ____________________________________________

Mailing Address: ____________________________________________________________________

City: _____________________________________ State: ____________ Zip: ___________________

Home Phone: (____________) ________________- __________________

Cell Phone:    (____________) ________________- __________________

E-Mail Address:* _______________________________________@ ________________________

(*Include E-Mail address completely and legibly – This will be used for our E-mail confirmation to you)

 

Workshop Title: ________________________________________________________

Date of Workshop: ______________________________________________________

Check* paid to: ________________________________________________________

Check total enclosed: $ ______________

Check category that applies:

JOIN YEAH: 

 3 Ways to Register for Adult Education Workshops & Seminars:

  1. MAIL TO: The YEAH Academy, 5532 St. Stephen Street, St. Paul, MN 55112

  2. HAND DELIVER TO: The Academy Campus (Bethany Church, 2025 Skillman Ave, Roseville, MN. 55113) on Monday, Tuesday or Wednesday between 9:00-4:30 PM during operating semester dates (see Schedule at www.yeahacademy.net)   Give to Jane, Cher or Julie.

  3. AT-THE-DOOR: Registrations will be taken, space available, at the door the night of the workshop for an additional fee of $10.00/person/class or workshop. NOTE: Please Email YEAH@mtn.org by Monday evening for the Tuesday workshops or Friday afternoon for the Saturday seminars, if possible, so that we can prepare for you with enough handouts and seating space.  Thanks for your consideration in this matter.

NOTE: Please DO NOT mail or deliver any registration or tuition payments to the Bethany Church office—or to the tutor or workshop presenter.

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