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Adult Education Registration Form Spring 2024
Registration will begin
January 19, 2024.
Fill out the Registration Form, and then
complete payment under the Make Your Payment link.
If you are 60 or older, please visit the Golden Age Registration Form.
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* Indicates required question
Email
*
Your email
Email Address (Confirm Email Again)
*
Your answer
Course
*
Choose
#400 - AEC EAST Real Estate for the Consumer
#400 - AEC WEST Regency Real Estate for the Consumer
#502 German (Advanced)
#503 Intermediate Spanish
#600 Microsoft Word (for the Web)
#700 Medical Billing and Coding
#701 Emergency Medical Technician Basic Initial Class
#801 Residential Landscape Architecture/Design
Online Clinical Medical Assistant
Online Pharmacy Tech
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
*
Your answer
Address (Street, City, Zip)
*
Your answer
Phone (Area Code + Number)
*
Your answer
Emergency Contact Name/Phone
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Race/Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Hispanic or Latino
Not Hispanic or Latino
Other:
I have read and understand the refund policies regarding the classes at the Adult Education Center. I also understand that if a course is cancelled due to insufficient enrollment, my registration payment will be refunded. Otherwise, no refund will be provided. Check processing can take up to 6 - 8 weeks.
*
Yes
Required
I hereby agree that I will follow the rules and regulations laid down by Henrico County Public Schools and Henrico Adult Education Center.
*
Yes
Required
I hereby agree to Complete the Payment Link completing the registration process.
*
yes
No
Other:
Send me a copy of my responses.
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