ECFE Classes Online Registration - ECFE - Fillmore Central Public Schools

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Registration Form

Early Childhood Family Education Classes
You may register your family here!


First Name:	*

Last Name:	*

Please note that all classes must have a minimum of 3 families or the class will be cancelled.

Phone:	*

Email:

Child 1 Name and Birthdate	*

Child 2 Name and Birthdate

Child 3 Name and Birthdate

Child 4 Name and Birthdate

Please list child(ren)'s food or other allergies:



I was referred to ECFE by:

* *Choose A Class
		Tuesday Mornings, 10:30am-12:00 pm, Preston
		Thursday Evenings, 6:00-7:30 pm, Harmony

Please check if you participate in:
WIC

Please indicate below if you are paying online. You may click on the link below to pay your $24 ECFE fee online.
		I am paying online at: https://isd2198.revtrak.net/ecfe-fees/#/v/ecfe-spring-session

Send a copy of the completed form to this email address :

* Indicates Required fields.