Class Fee Assistance Form Class Fee Assistance Name(Required) First Last Email(Required) I have already created an ActiveNet account. Please check to indicate YES(Required) YesAn Activnet account is required. Set up one here: Click here to registerPhone Number(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Do you currently receive financial assistance via any of these programs: SNAP, EBT, SSI, Medicaid,? Yes No If NO, please briefly describe your financial challenges.(Required)How will this class help you?(Required)Class Preference Click here for Class Listings We make incredible effort to get students into their preferred class but cannot guarantee priority placement due to the registration process. Using the current class offerings (link provided will open a new tab) please complete the sections below with the class name, day, & time.First ChoiceDay and time of ClassSecond ChoiceDay and time of Class
