GRASP 2022 Flyer

Register online at www.728communityed.com. Call 763-241-3520 to register by phone or mail form below to: Community Education - 1170 Main St. Elk River, MN 55330 Home Phone w/area code _________________________________ E-mail address______________________________________________ Participant’s Last Name____________________________________ First Name _________________________________________________ Address _______________________________________________ City_______________________________ Zip Code_________________ Parent Name(s)___________________________________________________________ Work Phone_______________________________ Child’s Birth Date & Age____________________________________School___________________________ Current Grade_________(21-22) oMATH oREADING oMATH & READING GRADE REQUESTING*: _____________ FEE: $___________ *Grades 4-8 only: How would you like to complete the program? oOnline oWorkbook and mail in answer sheets o Check o Cash o MasterCard/VISA/AmEx/Discover#_________ -_________ - _________ - _________ Exp________CVV_______ Signature _____________________________________________________________