CREC: Capitol Region Education Council Public Catalog 
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
HartfordConnecticut  06106 
Attn:CREC - Business Services
Phone: 860-509-3787    Fax: 860-548-9759