COURSE REGISTRATION FORM
COURSE REGISTRATION FORM [MAKE A COPY OF FORM TO REGISTER YOUR FRIENDS]
Last Name
First Name
Home Phone Number
Cell Phone Number
Street Address
City / State / Zip
Date of Birth
E-mail Address Course #
Start Date
Course Title
Fee
Method of Payment □ check or money order □ invoice employer/agency (send authorization to bill your company)
□ Visa, MasterCard, Discover (complete card information below)
Course Fee Total CARD NO. (include CVV code)
EXP. DATE
SIGNATURE I hereby authorize use of my Visa/MasterCard/Discover
Registration Options Online: Register at www.al.lisd.us 24 hours every day. Visa/ MC/Discover accepted. Phone: Use your Visa/MC/Discover to register by phone at 517.265.1650 during regular office hours (Monday thru Thursday, 7:30am-7:00pm, Friday, 7:30am-4:30pm). Mail: Send completed registration form with credit card info, employer authorization, or check to Adult Learning Services, LISD TECH Center, 1372 N. Main St., Adrian, MI 49221. Walk-in: Walk-in registrations are accepted during regular office hours (above) at the LISD TECH Center. Fax: Fax completed form with credit card info or employer authorization 24 hours a day to 517.263.9433. Waiting Lists In order to maintain a suitable student-teacher ratio, and to ensure that sufficient tools, equipment, and materials are available for each student, class size must be limited. Once a course is filled to the maximum enrollment, additional registrants will be placed on a waiting list. If someone should decide to withdraw from a course, persons on the waiting list will be notified of the available opening. People left on the waiting list will be notified of the next course offering before the course is publicized. Special Accommodations Students with disabilities are asked to notify Adult Learning Services @ LISD TECH Center of their specific needs before the class starts so we can make appropriate accommodations. This information will be held in total confidence and such written communication removed from the program folder after the course has been completed.
Discounts Discounts may be available (on tuition only) if you are: A Senior (over 60 years old)
A Lenawee County Educator
A Veteran Discounts cannot be given on materials and/or book fees. Contact us for more information or for help in registering for courses. Email: [email protected] Phone: 517-265-1650 Refunds For ALS courses, tuition refunds upon withdrawal from a course will be made as follows: 1. Notification of withdrawal before the first class meeting—100% refund minus a $10 registration fee. 2. Notification of withdrawal before the second class meeting—percentage of tuition eligible for reimbursement will correspond to the percentage of the class completed, minus $10 registration fee. 3. There will be no refunds or transfer of tuition after the second class of any course. 4. Books and materials that have been used are NOT refundable. 5. Refunds will be mailed or issued within 1-2 weeks. 6. CNA students will receive a refund policy applicable to their course. Cancellations A decision to run a course is generally made the day before the course starts. If there are fewer than the minimum number of registrants to run a course, the course will be cancelled. Those who have registered will be notified of the cancellation and a full refund will be issued.
Last Name
First Name
Home Phone Number
Cell Phone Number
Street Address
City / State / Zip
Date of Birth
E-mail Address Course #
Start Date
Course Title
Fee
Method of Payment □ check or money order □ invoice employer/agency (send authorization to bill your company)
□ Visa, MasterCard, Discover (complete card information below)
Course Fee Total CARD NO. (include CVV code)
EXP. DATE
SIGNATURE I hereby authorize use of my Visa/MasterCard/Discover
Registration Options Online: Register at www.al.lisd.us 24 hours every day. Visa/ MC/Discover accepted. Phone: Use your Visa/MC/Discover to register by phone at 517.265.1650 during regular office hours (Monday thru Thursday, 7:30am-7:00pm, Friday, 7:30am-4:30pm). Mail: Send completed registration form with credit card info, employer authorization, or check to Adult Learning Services, LISD TECH Center, 1372 N. Main St., Adrian, MI 49221. Walk-in: Walk-in registrations are accepted during regular office hours (above) at the LISD TECH Center. Fax: Fax completed form with credit card info or employer authorization 24 hours a day to 517.263.9433. Waiting Lists In order to maintain a suitable student-teacher ratio, and to ensure that sufficient tools, equipment, and materials are available for each student, class size must be limited. Once a course is filled to the maximum enrollment, additional registrants will be placed on a waiting list. If someone should decide to withdraw from a course, persons on the waiting list will be notified of the available opening. People left on the waiting list will be notified of the next course offering before the course is publicized. Special Accommodations Students with disabilities are asked to notify Adult Learning Services @ LISD TECH Center of their specific needs before the class starts so we can make appropriate accommodations. This information will be held in total confidence and such written communication removed from the program folder after the course has been completed.
Discounts Discounts may be available (on tuition only) if you are: A Senior (over 60 years old)
A Lenawee County Educator
A Veteran Discounts cannot be given on materials and/or book fees. Contact us for more information or for help in registering for courses. Email: [email protected] Phone: 517-265-1650 Refunds For ALS courses, tuition refunds upon withdrawal from a course will be made as follows: 1. Notification of withdrawal before the first class meeting—100% refund minus a $10 registration fee. 2. Notification of withdrawal before the second class meeting—percentage of tuition eligible for reimbursement will correspond to the percentage of the class completed, minus $10 registration fee. 3. There will be no refunds or transfer of tuition after the second class of any course. 4. Books and materials that have been used are NOT refundable. 5. Refunds will be mailed or issued within 1-2 weeks. 6. CNA students will receive a refund policy applicable to their course. Cancellations A decision to run a course is generally made the day before the course starts. If there are fewer than the minimum number of registrants to run a course, the course will be cancelled. Those who have registered will be notified of the cancellation and a full refund will be issued.
