FALMOUTH ACADEMY

7 Highfield Drive • Falmouth, MA 02540
voice:(508) 457-9696 • fax: (508) 457-4112

FA² Course Registration Form

Please print this page, complete it, and return it with a check made out to:

FALMOUTH ACADEMY FOR ADULTS
7 Highfield Drive
Falmouth, MA 02540

Name__________________________________________________

Mailing Address__________________________________________

Town, State, Zip__________________________________________

Phone________________________

e-mail__________________________________________________

Course(s) you wish to take
_______________________________________________________

_______________________________________________________

Total tuition________________

Alternative if your choice(s) is/are filled

_______________________________________________________

Courses that would interest you in the future

_______________________________________________________

_______________________________________________________

Please use one form per person.