Scarsdale Adult School - Fall/Winter 2010 Registration Form
This registration form is only for students who wish to print out a form and mail it in with a check or money order. Please note that this registration cannot be filled out and submitted online. Please click here to review the process for online registration.

Please mail completed form
along with full payment to:

Scarsdale Adult School
P.O. Box 205
Scarsdale, NY 10583

* No space can be reserved in classes or lectures without full payment
* Use one registration form per person
* Make checks payable to: Scarsdale Adult School
Cancellations: The school reserves the right to cancel any course with insufficient registration; payment will be returned or transfers made to other classes where possible, if the registrant wishes.
Refunds:
Refunds will be issued only if your course is canceled or filled. There will be a $20 charge for checks returned by banks. Click here for more details.

The school reserves the right to substitute lecturers or to alter the schedule when necessary. Students are responsible for selecting appropriate levels when applicable, in courses such as computers, bridge, and languages.
If you are unsure which level fits your needs, please call (914) 723-2325 or e-mail
registrar@scarsdaleadultschool.org

Name

Home
Telephone

Mobile Telephone

Address Line 1

Address Line 2

City

State

Zip Code

E-Mail (for internal use ONLY!)

Course Name (You may abbreviate -- please include section if applicable)

Course ID


Cost  


Course Name (You may abbreviate -- please include section if applicable)

Course ID


Cost  


Course Name (You may abbreviate -- please include section if applicable)

Course ID


Cost  


Course Name (You may abbreviate -- please include section if applicable)

Course ID


Cost  

  Total Cost

I would like to support the Adult School with my tax-deductible contribution of:
(all contributions will be acknowledged in writing for tax purposes)

I would like to purchase a gift certificate for in the amount of