CREC: Capitol Region Education Council
Please make checks payable to CREC, and mail to the following address: CREC Course Registration Form
Person Information
Person Name:  
Social Security #:   - -
Address:  
City:      State:   Zip Code:  
Email Address:  
Phone Number:   - -
 
School Information
District:  
School:      Grade:  
Address:  
City:      State:      Zip Code:  
Phone Number:   - -
 
Activity Information
Activity Name:     Activity Code:     Price: 
Activity Name:     Activity Code:     Price: 
Activity Name:     Activity Code:     Price: 
Payment Amount: 
Check #:     P.O.#: 
Invoice Me: 
*To mail in your registration, complete the form and send it with a check payble to:
Please make checks payable to CREC, and mail to the following address: CREC
111 Charter Oak Avenue
Hartford,  Connecticut  06106 
Attn:CREC - Business Services
Phone:     Fax: 860-548-9759