ACED Class On-Line Registration Form
 Fall 2008
 

Name:  Address: 
Phone Number:    City:   State:  Zip: 
Email:  
Have you attended ACED classes before?     Yes     No Is this a new address?         Yes                 No
 
List a person to contact in case of an emergency during a Saturday morning class.

Name:            Relationship: 

Phone Number(s) of Contact:
Home:          Work:         
Pager:           Cell:           


If you are currently taking any medications or need special accommodations, please send that information in to Wendy Seelbinder or Beverly Murphy at the address below, or click here for a printable registration form, fill it out, and mail it in. Thank you.
 

How to register for classes

1.  Select the Location where you want to take classes
MCC-Blue River Campus
20301 E. Hwy. 78
Independence, MO 64057		 MCC-Longview Campus
500 SW Longview Road
Lee's Summit, Missouri 64081		 UMKC Campus
800 E. 52nd Street
Kansas City, Missouri


2. Select the Classes You wish to take (The classes with an asterisk in the front are the only ones that are available at MCC-Blue River.  All classes (with asterisks and without) are available at UMKC and MCC-Longview)

9:00a.m. -10:00a.m.
 1st Choice:
 

2nd Choice:
  


10:10a.m. - 11:10a.m.
 1st Choice:
 

2nd Choice:
 


11:20a.m.  - 12:35p.m.
 1st Choice:
 

2nd Choice:
 

 

3.  Fees are $6 for each class. 

Payment must accompany registration form.  If you are submitting this form on-line, then you need to mail your check with the correct amount to the corresponding representative:

Karen Crowell, ACED Program
MCC-Blue River Community Education
20301 E. Hwy. 78
Independence, MO 64057

Beverly Murphy, ACED Program
MCC-Longview Community Education
500 SW Longview Rd
Lee's Summit, MO 64081

 Wendy Seelbinder, ACED Program
UMKC Institute for Human Development
2220 Holmes, Room 340
Kansas City, MO 64108.


All checks (whether for UMKC, MCC-Longview or MCC-Blue River) should be made payable to:
UMKC Institute for Human Development

DO NOT SEND CASH