Registration information on the back of this flyer.

TALENT SHOW!

COMMUNITY SCHOOLS CONTACT: Tim Dahlheimer Phone: 763-506-4912 Tim.Dahlheimer@Anoka.K12.mn.us

Coon Rapids Middle School 11600 Raven Street NW Coon Rapids, MN 55433  

AMERICA’S GOT TALENT - AND SO DO OUR MIDDLE SCHOOLERS Do you sing, dance, play an instrument, juggle, do magic, tell jokes or play in a band? If you have a special talent, we want to see you deliver a two to five minute performance at our schools auditions. Cost: FREE! From this school audition, 3-4 acts will be chosen to represent CRMS at the districtwide Middle School Talent Show scheduled for the evening of Tuesday, February 16th at Roosevelt Middle School. AUDITIONS: Thursday, February 4th 3:15-5:00 p.m. WHO: Grades 6-8 WHERE: Coon Rapids Middle School Auditorium COST: FREE! You must pre-register to audition. If you are registering as a group, each group member must turn in a registration form. Please list both your name and your group name on the registration form. Turn your completed registration form in at the Community Education office. The district-wide Middle School Talent Show will be held on Tuesday, February 16 starting at 6:30 pm at Roosevelt Middle School. It’s a non-school day event, so transportation is not provided to Roosevelt MS.

WINTER  2016  Register online at www.discovercommunityed.com

 

 

Community Education Welcomes Participants of all AbilitiesPeople with disabilities registering for community education programs may request reasonable accommodations with advancenotice. To request an accommodation. Please write your accommodation needs on the registration form. This document will beprovided in alternate formats with 3-days notice.

Community Education funds, including participant fees, paid for the printing and distribution of this publication. Regular K-12 instruction funding was not used.

Student Name _______________________________________________ Gender M F Birth Date _______________ Grade ______

Address _____________________________________________________________________________ School __________________________

City ____________________________________________ Zip _______________ Phone No. (Home) ________________________________

Accommodation Needs ________________________________________________________________________________________________

Parent/Guardian Name ____________________________________________ (Work) _____________________ (Cell) __________________

Parent/Guardian Email Address _________________________________________________________________________________________Providing us with an email address allows us to contact you in case of schedule changes.

Cash, Check No. ____________ or Visa MasterCard Discover (Check one) Amount $______________________________________

Cardholder Signature required ________________________________ Exp. Date _________/_________ Checks payable to Anoka-Hennepin Dist. No. 11

Credit Card No. ________ ________ ________ ________ — ________ ________ ________ ________ — ________ ________ ________ ________ — _______ ________ ________ ________

Course Name _________________________________ Location _____________________ Number __________________ Fee __________Athletic participants must have a Sports Qualifying Physical, and Eligibility and Emergency Health form on file at your schools’Community Education office. Do you have these forms on file? Yes No (Check one)

Please list significant health, injury or concussion concerns:__________________________________________________________________

Register online at www.discovercommunityed.com or complete and drop off a separate form and payment for each class location.

Online registrationRegister for Community Schools activities atwww.discovercommunityed.com – convenient,secure, 24-hour registration using your Visa,MasterCard or Discover Card. Click on “registernow.” For athletics, enter your child’s schoolname into the search box. For all otheractivities, enter keyword “district-wide.”

Mail-in or drop-off registrationTo the school where the class is being held.

Fee assistanceLimited fee assistance is available for studentsreceiving free or reduced lunch. Contact yourschools’ Community Education office for moreinformation.

Inclement weatherDecision to cancel will be made by instructors at the class location just prior to class time. All outdoor activities that are cancelled will not be rescheduled or refunded.

TransportationActivity buses are available M-Th for allprograms that meet immediately after school. A parent/guardian is responsible for transportation home from the school on game days.

PaymentYou may pay with a personal check, cash orcredit card. Make checks payable to Anoka-Hennepin ISD No. 11. Registrations are notcomplete without payment. A registrationconfirmation will be emailed to you if an emailaddress is provided. Classes are filled on a first-come, first-serve basis. Activities with lowenrollment will be cancelled. Participants will be notified and payment refunded.

Refund policyCustomer initiated cancellations made at leastfive business days before the class is scheduledto start may qualify for a refund less $10.Customer initiated cancellations made less thanfive business days are not eligible for a refund.

Registration Information and Frequently Asked Questions  

If you are auditioning as a group, each member of the group needs to turn in a registration form and include both your name and your group name on the form.

America’s Got Talent CRMS CS202-4R4-W FREE!