Last Name   First Name
Address   City   State   ZIP
Home Phone   Work Phone

Courses in Which to Enroll
Class #1   Class #1 Fee
Class #2   Class #2 Fee
Class #3   Class #3 Fee
Class #4   Class #4 Fee
                                                                                            
                                                                                        TOTAL                               

You are enrolled in the course(s) when you pay the enrollment fee(s).
  To pay your fees, please come to the Education Service Center, room 505J or call (918) 746-6534.
We accept Visa or MasterCard.
No Refunds after course begins.

LIABILITY STATEMENT
Some Community Education courses are taught by people who are practicing financial planners, sales persons of investment products or services, or actively involved in a business or profession that is related to the subject they teach.  Community Education endorses their ability as instructors, but makes no comment as to their professional skills or abilities or the value of any product or service they sell.

By enrolling you or your child in a class where you will be an active participant, you indicate you or your child have no physical conditions which would make your participation hazardous to your or your child's health.  Additionally, you understand that Tulsa Public Schools will be held harmless for liability to any loss, cost, injury, or damage to person or property which may arise by engaging in these programs.