Community Lifelong Learning Forms
Forms for Students
Agreement and Release of Liability Form
If 18 years old or older fill out and sign
If under 18 years fill out both parts at the bottom - student information and parent/guardian
information and signature
Swim Lessons Agreement and Release of Liability Form
Please fill out this form for Summer Swim Lessons. If student is a minor, parent needs to fill out the form and sign for minor student. Fill out both pages, sign, bring to first swim class and give to Swim Coordinator.
Minor Consent Form
For students between the ages of 14 and 17 who want to take an adult class. There
is an information letter and also 2 forms - Minor Consent Form required by our District
and also a Student Conduct Form. The parent/guardian MUST contact Community Lifelong Learning to request approval prior
to enrolling a minor in an adult class. The parent/guardian and student should review the Student Conduct Form and sign.
This form is necessary in case there is a discipline/behavior problem with the minor.
Learn more about the MJC Community Lifelong Learning Summer Camps on the MJC4Life website.
Walk-in Registrations
CLL is not accepting walk-in registrations at this time. You must register in advance.
Your name must appear on the class roster before the start of class.
Forms for Instructors
Instructor General Information and Pay Rate
Learn about what it takes to be an instructor for MJC Community Lifelong Learning.
Course Proposal Outline
Are you interested in teaching for MJC Community Lifelong Learning? Please print the
Course Proposal Outline.
Mail or email the completed form to: commedoffice@mjc.edu or MJC Community Lifelong Learning, 435 College Avenue, Modesto, CA 95350