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Adult Education Registration
Revised October 2023
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First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Vermont
Other:
Zip Code
*
Your answer
Phone Number
*
Your answer
Email address
*
We will only use this to contact you regarding the course or future offerings (if you choose).
Your answer
Course of interest:
*
LNA
CMA
Phlebotomy
Intro to Welding
Advanced Welding
Soldering
Tractor Safety Training
Forklift Safety Training
Basic CPR/First Aid
Intro to CNC Plasma Cutter
Intro to Glowforge Laser Cutter
Intro to CNC Wood Router
Small Engine Repair
Intro to Woodworking
Plumbing Basics
Electrical Basics
Other
What other classes would you like to see us offer?
Your answer
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