Request for Enrollment

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Class #: C023624 46752
Description: February 28 & March 3, 2018--February 28 (6:00 pm-9:00 pm) Starke & March 3 (8:00 am-complete) Graham

  • Enter first, middle initial, last name. This is a legal document, do not enter nicknames.
  • Enter mailing address, birth date, gender, and phone number and email address.
  • Click the "Send Request" button when finished.
  • Each family member must complete a separate registration.
  • Required fields are indicated with red *.

*   *   *  
*   Ethnicity:
*   * Under 18 click here  

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

Instructors: To view class roster, enter password and click Login Button.
Roster will open as a PDF document in a new browser window or tab and may require you to allow POP UPs from
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