Registration Form

Participant Name:_______________________________________________________________

Parent’s Name (if participant is under 18):____________________________________________

Address:______________________________________________________________________

Phone: (day)_______________________________  (evening)____________________________

Email:________________________________________________________________________

Would you like to be added to our email list?:_________________________________________

Course(s):_____________________________________________________________________

______________________________________________________________________________

Payment Information

It's our goal to make our courses as accessible to as many people as possible. It's also our goal to invite people to contribute what they can for a course in order to make it possible for us to offer a diversity of programming, pay our instructors a fair wage for their work, and sustain the operations of the Center.

To offer a course costs the CCLC more than $40 per hour. That includes an instructor's wage, building utilities and maintenance, and advertising and preparation work in the part of our staff. If six people participate in a course that averages out to $7 per hour per person.

With the sliding scale, you are invited to identify for yourself how much you can contribute for a course, between $0 and $10 per hour, based on what works for you.  We would appreciate hearing any feedback you might have on this new system.

I can pay $_______ per hour for this course / program.

Total:  $_______ per hour x ______ hours =  $____________

Example:  $4 per hour for an 8 hour workshop = $32 contributed towards a course.   

Please make checks payable to the CCLC - 10 Commissary Point Road, Trescott TWP, ME 04652.  We can also accept Visa/Mastercard payments online or call 733-2233.