Dalhart Community Education

Enrollment Form

 

 

Name:                                                                                               Email:           

 

Mailing Address:              

 

Telephone:

 

Course Description                                   Fee

 

1.                                                                                                                                                                                                              $

2.                                                                                                                                                                                                              $

3.                                                                                                                                                                                                              $

4.                                                                                                                                                                                                              $

                                                           

 

                                                                                                Total   $

 

Paid by Check:                               Cash:

 

 

 

 

Dalhart Community Education

Enrollment Form

 

 

Name:                                                                                               Email:           

 

Mailing Address:              

 

Telephone:

 

Course Description                                   Fee

 

1.                                                                                                                                                                                                              $

2.                                                                                                                                                                                                              $

3.                                                                                                                                                                                                              $

4.                                                                                                                                                                                                              $

 

                                                                                                Total   $

 

Paid by Check:                               Cash: