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Brevard Adult & Community Education
Spring 2021 Lifelong Learning Registration Form-SESSION 2
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Please Provide the Following Information:
1. Last, First Name:
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Your answer
2. Today's Date:
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MM
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DD
/
YYYY
3. Phone Number:
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Your answer
4. Email Address:
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Your answer
5. How did you hear about us?
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Your answer
6. Please select your age from the age ranges below:
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16 -17
18-24
25-34
35-44
45-54
55-64
65 or over
7. Select a class: Please fill out a form for each class.
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OSHA-10 Hour General Industry Training-ONLINE: REGISTER ANYTIME! $25
NEW* Acrylic Painting Class-Cocoa-$36-Wednesdays-3/31-5/5/21-5:30-7:30pm
Spanish 1A on Zoom-$36-Mondays-3/29-5/3/2021; 5:30-7:30pm
Spanish 1B on Zoom-$36-Tuesdays-3/30-5/4/2021; 5:30-7:30pm
Microsoft Excel-Cocoa Classroom OR Zoom Option-$36-Tuesdays-5:30-7:30pm: 3/30-5/4/21
Microsoft Word-PBH Classroom OR Zoom Option-$36-Wednesdays-5:30-7:30pm-3/31-5/5/21
NEW* ParaPro Test Prep Course-$54-MATH -Cocoa-3/23-4/20/21; Tue.+Thur. 5:30-7:30pm
Computer Basics-$36,Cocoa;Mondays-5:30-7:30pm; REGISTER NOW! CONTACT FOR INFO.
Computer Basics-$36-Palm Bay High-5/12-6/16/21-Wednesdays-5:30-7:30pm
American Sign Language (Part 1)-Palm Bay -$42-4/1-5/13/21-Thursdays 5-7pm
American Sign Language (Part 2)-Palm Bay -$48-5/20-6/24-Thursdays 5-7pm + 2 Class Dates TBA (5-7pm).
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