First Name     Last Name

Email Address

Phone 1     Phone 2

Mailing Address

City     State     ZIP

Check class(es) you would like to register for:
Math   making it add up
GED   the key to your future
Family Education Services   learning and growing together
English as a Second Language (ESL)   speaking, listening, reading
School-to-Work   goal planning and academic readiness
Pre-Vocational Academics   prepare to succeed in training
Distance Education   making learning fun and rewarding
Computer Literacy   learning to use technology
Other   (Please list any other classes you would like to register for in the space below.)

I have child(ren) under the age of 8.

Photo release:
I give my permission and consent to be photographed during OIC activities. I further give permission and consent for OIC to publish and use such photographs to illustrate and promote the OIC experience and programs. 

Enter additional information or questions here.