Class Registration Name* First Last Email* Phone*Age Range*0 - 5 Years OldGrades k-5Grades 6-8Grades 9-1019 - 54 Years Old55+ Years Old*Pick the course you are wanting to participate in.4-Hour Defensive Driving CourseWomen's BasketballIndoor Pickleball 2019Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Bird DatesPlease check all dates that you want to attend. If you check the bottom box that says all course dates they fee is $40.00. Each individual course is $10.00 March 21st 6:00-8:00 April 4th 6:00-8:00 April 18th 6:00-8:00 May 2nd 6:00-8:00 May 16th 6:00- 8:00 ALL DATES Liability Waiver*By registering for an Ely Community Education class, I understand that participation is at my own risk. I, my children, heirs, executors and administrators agree to indemnify and hold harmless the Ely School District, its employees, agents, contributing organizations, officers, representatives and facilities from any and all claims resulting from any theft, physical injury, death, or pecuniary loss as a direct or indirect consequence of participation in this activity/class. If I am under 18 years old, my parent or guardian agrees to these terms on my behalf. By checking I signify that I am 18years of age. By checking this box I signify my agreement to the Liability Waiver statement above.