community programs · intermediate steel band $185 + materials 13 thu // feb 7 –may 23, 7 9pm...

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Community Programs

Enriching the Lives of San Luis Obispo Residents —Since 1975 —

COMMUNIT Y EDUC ATION // INSTITUTE FOR PROFESSIONAL DEVELOPMENT ONLINE CL A SSES // PUBLIC EVENTS // RECRE ATION AND FITNESS

Register and find additional information at cuesta.edu/communityprograms

Cuesta College Community Programs // SPRING 2019 3 2 Cuesta College Community Programs // SPRING 2019

Welcome to Community Programs!

Featured Instructor: Dr. Anne KennardDr. Anne Kennard, DO, FACOG, is Board-Certified in Obstetrics and Gynecology, Fellowship-trained in Integrative Medicine, and mother of a toddler. She is passionate about food and plants as Medicine, focusing on health in the body, mind, and spirit.

See page 8 for Dr. Kennard’s Natural Home & Health Series classes.

Cuesta College Community Programs strives to be a comprehensive source for lifelong learning, vocational education, recreational opportunities, and cultural development in San Luis Obispo County. We are a self-supporting branch of the college and are not funded by taxpayer dollars. Our offerings are short term, not-for-credit, and are designed to meet the diverse needs of our everchanging community. Take some time to peruse our spring schedule of offerings and start the year off by treating yourself to a gift that keeps on giving. As the wise Benjamin Franklin once said, “an investment in knowledge pays the best interest.”

We hope to see you on campus this spring, The Community Programs Team

Table of Contents Spring 2019 Offerings

Animal Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Arts and Crafts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Business and Finance. . . . . . . . . . . . . . . . . . . . . . . . .5

Career Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Computers and Technology . . . . . . . . . . . . . . . . . .5

Language and Culture . . . . . . . . . . . . . . . . . . . . . . . .6

Music, Drama and Performance . . . . . . . . . . . . . .6

Outdoors, Nature and Science . . . . . . . . . . . . . . . .7

Personal Development and Wellness . . . . . . . . .7

Photography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Writing and Publishing . . . . . . . . . . . . . . . . . . . . . . .8

Basketball . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Dance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Fitness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Martial Arts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Policies & General Info . . . . . . . . . . . . . . . . . . . . . 10

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4 Cuesta College Community Programs // SPRING 2019

Animal Care

Feeding Your Dog to Thrive!$20Sat // Mar 30, 9am–12pmAN0901.119 // SLO—RM 4730 J Harris

Arts & Crafts

Oil & Acrylic Painting$225 + materials15 Mon // Jan 28–May 20, 1–4pmAC0901.119 // SLO—RM 4720 K Doe

Screen Printing Valentine Cards$451 Sat // Feb 2, 12:30–4:30pmAC0902.119 // SLO—RM 7106M Harvey

Sea Glass Heart Jewelry$15 + materials1 Tue // Feb 12, 6–8pmAC0903.119 // SLO—RM 4720J Martin Fee

Woodworking$199 + materials5 Wed // Feb 13–Mar 13AC0905.119: 11:30am–2:30pmAC0906.119: 2:30–5:30pmAC0904.119: 5:30–8:30pmSLO—RM 4801-75 Acres H Zanoli

Woodworking$199 + materials5 Thu // Feb 14–Mar 14AC0908.119: 2:30–5:30pmAC0907.119: 5:30–8:30pmSLO—RM 4801-75 Acres H Zanoli

Watercolor Workshop for Beginners 1$721 Tue // Feb 19, 12:30–4:30pmAC0909.119 // SLO—RM 4720G Rappaport-Weiland

Art in Motion Hiking Series$1002 Sat // Mar 9 & Apr 6, 9am–1pmAC09S1.119OR enroll for any individual Workshop—$59AC0910.119: Mar 9—Reservoir Canyon Trail AC0914.119: Apr 6—Point Buchon TrailP DeLay & S Hawkins

Chinese Brush Painting Series$2003 Sat/Sun // Mar 9–10, Apr 6–7, May 4–510am–4pm // AC09S2.119OR enroll for any individual weekend—$80AC0911.119: Mar 9–10: Grapes & Baby ChicksAC0915.119: Apr 6–7, California PoppiesAC0927.119: May 4–5, IrisSLO—RM 4720J Harvey

Round Succulent Wreath$15 + materials1 Wed // Mar 13, 6–8pmAC0912.119 // SLO—RM 4720J Martin Fee

Watercolor Workshop for Beginners 2$691 Sat // Mar 16, 11am–2pmAC0913.119 // SLO—RM 4750G Rappaport-Weiland

Cartooning with Raytoons Cartoonist$50 + materials1 Sat // Apr 6, 10am–3pmAC0916.119 // SLO—RM 4750R Mullikin

Personal Ancestry Through Mixed Media$751 Sat // Apr 13, 12–4:30pmAC0917.119 // SLO—RM 4720D Rosenwasser

Cyanotype for Kids & Parents$801 Sat // Apr 20, 12–4pmAC0918.119 // SLO—RM 4720D Rosenwasser

Beginning Drawing 1: Fundamentals$1256 Fri // Apr 26–May 31, 9:30am–12:30pmAC0924.119 // SLO—RM 4750 L Le Brane

Mosaic Rock$18 + materials1 Sat // Apr 27, 10am–12:30pmAC0925.119 // SLO—RM 4720J Martin Fee

Stop-Motion Movie Studio with Clay & Crafts$50 + materials1 Sat // Apr 27, 10am–3pmAC0926.119 // SLO—RM 4750R Mullikin

Resin Necklaces$15 + materials1 Tue // May 7, 6–8pmAC0928.119 // SLO—RM 4720J Martin Fee

Business & Finance

The Loan Signing Specialist$501 Thu // Feb 7, 5:30–9:30pmBF0902.119 // SLO—RM 4730Masters Notary Academy

California Notary Public Workshop & Exam$70 + materials & exam fee1 Fri // 8am–4pmBF0903.119: Feb 8BF0913.119: Mar 29SLO—RM 4760Masters Notary Academy

Nonprofit Fundraising$50Tue/Thu // Feb 26 & 28, 6–9pmBF0904.119 // SLO—RM 4730T Bayus

Modern Retirement Planning SCC$592 Thu // Mar 7 & 14, 6–9pmBF0905.119 // AGHS TBD C James

Cash In on the Short-Term Rental Craze$391 Thu // Mar 7, 6–9pmBF0906.119 // SLO—RM 4730 J Robinson

Modern Retirement Planning NCC$592 Sat // Mar 9 & 16, 10am–1pmBF0907.119 // NCC—RM N2409 C James

Modern Retirement Planning SLO$592 Thu // Mar 21 & 28, 6–9pmBF0908.119 // SLO—RM 4750 C James

Save Money with Extreme Couponing!$20 + materials1 Thu // Mar 28, 11am–12pmBF0909.119 // SLO—RM 4730 L Krusemark

Earn Extra Money with a Mystery Shopping Business$20 + materials1 Thu // Mar 28, 12–1pmBF0910.119 // SLO—RM 4730 L Krusemark

Explore 250 Legitimate Home-Based Businesses$40 + materials1 Thu // Mar 28, 1–3pmBF0911.119 // SLO—RM 4730 // L Krusemark

Make Money with a Typing/Word Processing Business$20 + materials1 Thu // Mar 28, 3–4pmBF0912.119 // SLO—RM 4730 L Krusemark

Career Training

Vet Assistant Free Information SessionFree, register online to reserve a seat 1 Sat // January 26, 10–11amCT0901.119 // SLO—RM 4750 B Mundy

Vet Assistant$6995 Sat // Feb 23–Mar 23, 9am–4:30pmCall 888-308-0737 to enrollSLO—RM 4750 R Mundy

Pharmacy Tech Free Information SessionFree, register online to reserve a seat 1 Sat // Mar 16, 10–11amCT0902.119 // SLO—RM 4760 G Ramirez

Pharmacy Tech $2,19920 Sat // Apr 13–Sep 14, 9am–4:30pmCall 888-308-0737 to enrollSLO—RM 4760 G Ramirez

Computers & Technology

Programming in Java$24012 Wed // Feb 20–May 8, 5:30–7:30pmCS0901.119 // SLO—RM 4740 R Krell

Intro to Computers: Make a Computer Your Friend$603 Sat // Feb 23–Mar 9, 12–2pmCS0902.119 // SLO—RM 3313 R Krell

Intro to App Creation for Computers, Tablets & Smartphones$50 + materials1 Sat // Mar 2, 10am–3pmCS0903.119 // SLO—RM 4740 R Mullikin


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Beginning Robotics for High School Students$90 + materials4 Thu // Mar 7–28, 6–8pmCS0904.119, // SLO—RM 4740 A Johnson

Video Game Coding— Arcade Sidescrollers$50 + materials1 Sat // Mar 23, 10am–3pmCS0905.119 // SLO—RM 4740 R Mullikin

Internet Video Game Design$50 + materials1 Sat // Mar 30, 10am–3pmCS0906.119 // SLO—RM 4740 R Mullikin

HTML5 Web Design with Clickteam Fusion$50 + materials1 Sat // May 4, 10am–3pmCS0907.119 // SLO—RM 4740 R Mullikin

Language & Culture

Let’s Speak Spanish$135 + materials10 Thu // Jan 24–Mar 28, 5:15–7pmLA0901.119 // NCC—RM N2439 J Carro

Friendly Italian$135 + materials10 Thu // Jan 24–Mar 28, 7:15–9pmLA0902.119 // NCC—RM N2439 J Carro

Learn Spanish Fast: Beginning I$1407 Tue // Feb 5–Mar 19, 5:30–7:30pmLA0903.119 // SLO—RM 4760 L Ward

French for Travelers$15510 Mon/Wed // Mar 11–Apr 10, 5–6:30pmLA0904.119 // SLO—RM 4730 S Lloyd

Learn Spanish Fast: Beginning II$1407 Tue // Apr 2–May 14, 5:30–7:30pmLA0905.119 // SLO—RM 4760 L Ward

Music, Drama, & Performance

Intro to Voiceovers (Online)$491 hour 30 minutes, flexible schedulePlease call 805-546-3132 or register onlineBF0901.119 // Online Voices for All

Instant Piano (Online)$59Self-scheduled, self-pacedPlease call 805-546-3132 or register onlineMU0901.119 // Online C Coffman

Royal Garden Swing Orchestra$305 Sat // Jan 19–May 18, 10am–12pmMU0902.119 // SLO—RM 7160 W Balfour

SLO County Trumpet Alliance$3511 select Sundays // Starting Jan 20, 11am–2pmMU0903.119 // SLO—RM 7160 W Balfour

SLO Horn Club$50First Meeting Sun, Jan 20, 2–4:30pmMU0904.119 // SLO—RM 7104 M Burrell

Ukulele 101$49 + materials3 Tue // Jan 22–Feb 5, 6:30–8pmMU0905.119 // SLO—RM 4730 B Schwartz

Cabaret Singing & Performance$1458 Wed // 6:30–9:30pmMU0906.119: Jan 23–Mar 13MU0916.119: Mar 20–May 8SLO—RM 7104 G Crowl

Central Coast Gilbert & Sullivan$55 + materials34 mtgs, Thu/Sun // Jan 27–Jun 16, 6:30–9:30pmMU0907.119 // SLO—RM 7104/7160 M Irving

Beginning Steel Band$185 + materials13 Mon // Feb 4–May 20, 7–9pmMU0908.119 // SLO—RM 4710 P Dee

North County Chorus$98 + materials16 mtgs // Feb 5–May 5, 7–9:30pmMU0909.119 // NCC—RM N3102 Dallon’s HallC Tarantino

Intermediate Steel Band$185 + materials13 Thu // Feb 7–May 23, 7–9pmMU0910.119 // SLO—RM 4710 P Dee

Become a Karaoke Rockstar!$956 Thu // Feb 7–Mar 14, 6:30–9pmMU0918.119 // SLO—RM 7120 G Crowl

Musical Theater Vocal Workshop$20010 Tue // Feb 12–Apr 23, 6–8:30pmMU0911.119 // SLO—RM 7104 C Ruyle

Ukulele 202$49 + materials3 Tue // Feb 12–26, 6:30–8pmMU0912.119 // SLO—RM 4750 B Schwartz

SLO Wind Orchestra$5014 mtgs // First Meeting Feb 19, 7–9:45pmMU0913.119 // SLO—RM 7160 J Martin

The Art of Songwriting$39 + materials3 Wed // Feb 27–Mar 13, 6–8pmMU0917.119 // SLO—RM 7120 B Schwartz

Beginning Folk Harmonica$501 Thu // Mar 7, 6–7:30pmMU0914.119 // SLO—RM 4750 D Broida

Beginning Blues Harmonica$501 Thu // Mar 7, 7:45–9:15pmMU0915.119 // SLO—RM 4750 D Broida

Outdoors, Nature, & Science

Observing Birds of Prey$681 Sat // Feb 2, 8–5pmOD0901.119 // SLO—RM 4730 S Schubert

California Naturalist Program$3758 Fri // Mar 1–Apr 19, 9am–3pmOD0902.119 // SLO—RM 4730 M Roest

Springtime on the Carrizo Plain$811 Sat // Apr 13, 8am–8pmOD0903.119 // SLO—RM 4730 S Schubert

Hiking Natural History Field Trips: $1002 Sat // Apr 27 & May 4, 8am–8pmWest & East Cuesta Ridge, Santa Lucia Mtns.OD0904.119 // SLO—RM 4730 S Schubert

Personal Development & Wellness

Body in Balance: Tai Chi Gong$1208 Tue // Feb 5–Mar 26, 7–8pmPD0915.119 // NCC—N2439 F Baker

The Mindful TEEN: Superpowers for the 21st Century (ages 13–19)$804 Wed // Feb 6, Mar 6, Apr 3, May 1, 5:30–7:30pmPD0901.119 // AGHS—RM TBD D DiGioia

Mediterranean Diet: A Proven Way to Live Better$1505 Wed // Feb 20–Mar 20, 6–9pmPD0902.119 // SLO—RM 4750M Auriemma

Wilderness & Remote First Aid$200Sat & Sun // Mar 2 & 3, 9am–5pmPD0911.119 // SLO—RM 4730 S Hawkins

Empowering Women: Train the Body, Train the Mind$604 Tue // Mar 5–26, 5:30–7pmPD0903.119 // SLO—RM 4730 Q Longley

Exploring Meditation Through Sound Workshop$251 meeting, 2 hoursPD0904.119: 1 Wed, Mar 6, 5:30–7:30pmPD0906.119: 1 Sat, Mar 30, 10am–12pmN Teichmann

Exploring Meditation Through Sound Series$756 Wed // Apr 3–May 8, 5:30–6:30pmPD0907.119 // SLO—RM 1105 N Teichmann

Adult & Pediatric First Aid/CPR/AED$1201 Sun // Mar 10, 9am–3pmPD0905.119 // SLO—RM 4750 S Hawkins

AmpSurf Certified Adaptive Surf Instructor Program with American Red Cross Certification$1288 Tue/Thu // Mar 19–May 18, 6–9pmPlus Sat, Apr 6, 13, & May 18, 7am–12pmPD0914.119 // SLO—RM 4750 D Cummings

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Featured Instructor:Natural Home & Health Series$75 + materials3 Wed // Apr 3–May 1, 6–8pm // PD09S0.119OR enroll for any individual workshop $30 + materialsPD0908.119: Apr 3—Natural Home ProductsPD0912.119: Apr 17—Natural Skin CarePD0913.119: May 1—Herbs for RelaxationSLO—RM 4750 A Kennard

Finding the Creative Window $491 Sat // Apr 6, 9am–12pmPD0909.119 // SLO—RM 4760 M Wycoff

Adult & Child CPR/AED (American Red Cross)$701 Fri // Apr 12, 5:30–8pmPD0910.119 // SLO—RM 4730 S Hawkins

Art of Intention: Yoga & Writing$391 Sat // Apr 13, 10am–1pmPD0912.119 // SLO—RM 1105 L St John

Photography

Photo Editing for Beginners$352 Wed // Jan 30 & Feb 6, 6–8pmPH0901.119 // SLO—RM 4740 C Dinunzio

Fotografía Digital para Principiantes$34Sábado 2 de febrero, 12–4pmPH0902.119 // SLO—RM 4750 C Dinunzio

Color, Composition & Creativity$755 Mon plus 1 field session Feb 25–Mar 25, 6–8pmPH0903.119 // SLO—RM 4750 K Drager

Adobe Photoshop Learning the Basics$705 Mon // Feb 25–Mar 25, 6–8pmPH0904.119 // SLO—RM 4740 M Dorin

Hands on Digital Photography for Beginners$695 Wed // Feb 27–Mar 27, 6–8pmPH0905.119 // SLO—RM 4760 C Dinunzio

Portrait Photography$554 Wed // Apr 10–May 1, 6–8pmPH0907.119 // SLO—RM 4760 C Dinunzio

Writing & Publishing

Blogging for Business$50Tue & Thr, Feb 19 & 21, 6–9pmWR0901.119 // SLO—RM 4730 T Bayus

Intro to Screenwriting for TV & Movies$20 + materials1 Thu // Mar 28, 4–5pmWR0902.119 // SLO—RM 4730 L Krusemark

Meet the Agent/Publisher— Get Your Manuscript Critiqued$20 + materials1 Thu // Mar 28, 5–6pmWR0903.119 // SLO—RM 4730 L Krusemark

Writing for Online Blogs, Magazines & Websites$20 + materials1 Thu // Mar 28, 6–7pmWR0904.119 // SLO—RM 4730 L Krusemark

Beginners Guide-Getting Published$40 + materials1 Thu // Mar 28, 7–9pmWR0905.119 // SLO—RM 4730 L Krusemark

Explore 50 Different Self-Publishing Options$20 + materials1 Thu // Mar 28, 9–10pmWR0906.119 // SLO—RM 4730 L Krusemark

Creative Writing Exercises$40 + materials1 Sat // May 18, 11am–3pmWR0907.119 // SLO—RM 4730 R Mullikin

Basketball (Ages 8–17)

Optimum Basketball: Elite Clinics$100 for or $20 drop-in6 Mon/Wed // 6–7pmBK0901.119: Feb 4–25BK0903.119: Mar 4–20BK0904.119: Apr 3–24BK0905.119: May 1–22Drop-In Only Dates: Mar 25 & 27, Apr 24 & 29, May 29SLO—GYM 1400 A Raj & C Blair

Optimum Basketball: Team Practice$32 or $3 drop-in16 mtgs // BK0902.119Tue/Fri // Feb 12, 22, 26, 6–7:30pmTue/Fri // Mar 5, 12, 15, 19, 22, 6–7:30pmFri // Mar 29, 4:30–6pm & 6–7:30pmFri // Apr 5, 12, 19, 26, 4:30–6pm & 6–7:30pmFri // May 3, 10, 17, 4:30–6pm & 6–7:30pmSLO—GYM 1400 A Raj & C Blair

Optimum Basketball: Youth Open Run$10 drop-in at the door1 Fri // Feb 8, 6:30–7:30pmSLO—GYM 1400 A Raj & C Blair

Dance

Introduction to Belly Dance$806 Thu // Mar 7–Apr 11, 5:30–7pmDA0901.119 // SLO—RM 1105 E Caloca

Fitness

Chair Pilates$165 or $7 drop-inMon/Wed // Jan 14–May 15, 9–10amFT0901.119 // SLO—RM 4730 P Holley

FUNctional Fitness$175 or $7 drop-in Tue/Thu // Jan 17–May 16, 3:30–4:30pmFT0902.119 // SLO—RM 1105 A Goughnour

Muscle Conditioning$175 or $7 drop-inTue/Thu // Jan 17–May 16, 2:30–3:30pmFT0903.119 // SLO—RM 1200 A Goughnour

Adapted Fitness$70 or $12 drop-in7 Weds // Feb 16–Mar 20, 11:30am–12:30pm$60 or $12 drop-in6 Wed // Apr 10–May 15, 11:30am–12:30pmSLO—RM 1200 S Hawkins

Martial Arts

HEMA German Longsword I$240 or $20 drop-in16 Tue // Jan 29–May 14, 6–7pmMA0901.119 // SLO—RM 1105 A Toberer

HEMA German Longsword II$240 or $20 drop-in16 Tue // Jan 29–May 14, 7–8pmMA0902.119 // SLO—RM 1105 A Toberer

HEMA Singlestick$120 or $20 drop-in8 Wed // Jan 30–Mar 27, 7–8pm MA0904.119 // SLO—RM 1105A Toberer

I Liq Chuan$606 Mon/Wed, Feb 6–Feb 27, 5–6pmMA0906.119 // SLO—RM 1105G Chavez

Krav Maga Self Defense Workshop$201 Sat // 12–2pmMA0908.119: Feb 23MA0911.119: Apr 27SLO—RM 1105N Zimmerman

Traditional Aikido Beginners Program$606 mtgs // Tue/Thu, 5:30–6:30pm MA0907.119: Feb 19–Mar 28MA0910.119: Apr 16–May 23Kiryu Aikido // 795 Buckley Rd, SLO, CAA Blevins

Youth Self Defense Camp$12016 mtgs // Tue/Thu, 4–5pmMA0905.119: Feb 5–Mar 28MA0909.119: Apr 2–May 23Sleeping Tiger FitnessN Zimmerman

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Cuesta College Community Programs // SPRING 2019 11 10 Cuesta College Community Programs // SPRING 2019

Coming in Summer 2019:See you at the pool! Progress continues on our Aquatics Center construction. We look forward to seeing everyone at the pool in Summer 2019!

Save the Dates:Summer Youth Programs: • College for Kids • Jr. College for Kids • Sciensational Workshops • CyberCamp • Swim LessonsSchedule Released . . . . . . . . . . . . . . . .3/27/2019 Registration Opens . . . . . . . . . . . . . . . .4/10/2019

Central Coast Writers Conference 2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9/26–28/2019

Community Programs Office InformationSan Luis Obispo Campus Highway 1, Building 4700 San Luis Obispo, CA 93403-8106Office HoursMonday–Thursday 8am to 5pm Closed for Lunch 12–1pm Closed FridaysPhone (805) 546-3132Fax (805) 546-3107

Superintendent/PresidentJill Stearns, Ph.D.

Community Programs StaffSarah Hawkins—Aquatics LeadGaby Rangel—Program AssistantLea Geronimo—Program AssistantWes Martin—Program CoordinatorNanette Piña—Division AssistantMatthew Green—DirectorThe Community Programs brochure is a publication of Cuesta College Community Programs and Marketing and Communications departments. Printed by Hudson Printing.

Location for the Office of Community Programs!For your registration services we are located in the 4700 building (corner of Cuesta College Rd. & Chorro Valley Rd.) next to the Cuesta College Children’s Center.

Campus LocationsSan Luis Obispo Campus (SLO) Highway 1 San Luis Obispo, CA 93403-8106North County Campus (NCC) 2800 Buena Vista Drive Paso Robles, CA 93446South County Center (SCC) Arroyo Grande High School 495 Valley Road, 900 Wing, RM 913 Arroyo Grande, CA 93420

San Luis Obispo County Community College District Board of TrusteesBoard President—Dr. Barbara GeorgeBoard Vice President—Patrick MullenTrustee—Angela MitchellTrustee—Mary StrobridgeTrustee—Pete SysakStudent Trustee—Jordan JantzenThe Board of Trustees of the San Luis Obispo County Community College District affirms that no person shall, on the basis of race, color, religious beliefs, gender, national origin, ethnicity, age, mental or physical disabilities, veteran status, sexual orientation, or marital status, be unlawfully subject to discrimination under any program or activity of the San Luis Obispo County Community College District.

Registration Information for Community Programs Classes and ActivitiesName of Payee: _________________________________________________________________ DOB: _______________

Address: _____________________________________________________________________________________________

City: __________________________________________________________ State: __________ Zip: _________________

Day Phone: ______________________________________ Evening Phone: _______________________________________

Fax: ________________________________ E-mail: __________________________________________________________

Emergency Contact: _______________________________ Emergency Phone: ____________________________________

Payment Information

Check/Money Order #: _________________________________________________________________________________

Visa/MC/Discover/Amex #: ______________________________________________________________________________

Expiration Date: ____________________________________ Security Code: ______________________________________

Name as it appears on card: _____________________________________________________________________________

ACKNOWLEDGMENT & ASSUMPTION OF POTENTIAL RISK

I understand and acknowledge: (a) that these activities, by their very nature, pose the potential risk of serious injury/illness to individuals who participate, (b) that in order to participate in these activities, I agree to assume liability and responsibility for any and all potential risks which may be associated with participation in such activities, (c) that the college, its employees, officers, agents, or volunteers shall not be liable for any injury/illness suffered by me which is incident to and/or associated with preparing for and/or participating in the activity(ies), (d) that I am responsible for my own transportation to and from the activity(ies) and the college assumes no liability for loss or injury resulting from my transportation and (e) that photos and/or videos of me and/or my child’s participation in these activities may be taken for the sole purpose of assisting in the instruction and/or for the promotion of future programs. I have no known medical condition which may pose a risk to the health and safety of me or others by participating in the registered activity(ies).

Participant’s Signature: _________________________________________________________ Date: __________________

Parent/Guardian’s Signature: ____________________________________________________ Date: __________________ (if under age 18)

FOR OFFICE USE ONLY: Date ____________ Registrar _______________________ Parking Permit # _____________

Pass # _______________________________________

COURSE / EVENT NAME COURSE / EVENT # DAY, DATE, TIME FEE

Participant Name: _____________________________ Male Female Birth Date (Required): ______________

SPRING PARKING PERMIT—$30.00. Complete the following:

Driver Name: _____________________________________ Drivers License #: ___________________________________

Vehicle: Year _______ Make ____________ Model _______________ Color ___________ Plate # __________________

** Not required for Daily Parking Passes

Total Fees

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community programs · intermediate steel band $185 + materials 13 thu // feb 7 –may 23, 7 9pm...

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