Rochester Community House Class Registration Form

Print this form, complete it and mail or deliver in person to:

Rochester Community House
816 Ludlow
Rochester, MI 48307

Office Hours: 9:00 am to 4:00 pm Monday-Friday

Please make checks payable to Rochester Community House.
No credit cards accepted.

Name ____________________________________________________

Address ___________________________________________________

City & Zip _________________________________________________

Home Phone ____________________ E-Mail  ________________

Class ______________________________________________________

Time & Date ________________________________________________

Amount Enclosed _____________________________________________