Registration Form: Springfield Lions Adult School - Spring 2010 – Classes Begin the week of 1/25/2010
Please print all information:
Course: ________________________________________ Rm: ___________________
Name: ___________________________________________ School: ETR or SHS
Address: _____________________________________ City/Town: ____________________
Phone: ________________________________________ Zip Code: _______________
E-Mail Address ________________________________________________________________
(Please attach tuition fee – Checks payable to Springfield Lions Club)
Mailed to: Adult School Administrator, 49 W. Leamy Ave., Springfield, PA 19064
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