Pea Ridge High School Business Technology Education Department Adult Class Registration Form
	Course:  ___ Introduction to Spreadsheets     ___ Introduction to Word Processing Name: _______________________________________ Telephone: ______________ Address: _____________________________________________________________ City/State/ZIP: _________________________________________________________ Race: ___ Black ___ White ___ American Indian ___ Spanish ___ Asian/Pacific Islander Email Address _________________________________________________________ Do you have a computer at home?  ___ Yes     ___ No Do you have Excel and/or Word on your home computer?  ___ Yes     ___ No NOTE: Registration Fee of $50 must accompany this form on or before first night of class (September 19, 2006). Make checks payable to Pea Ridge Schools.