***WCCSE+Reg'n+Form

WCCSE Warren County Consortium for Student Enrichment Registration Form School Name:

Coordinator(s):

Phone__:__

The consortium fee this year is $300.00. Please make checks out to “Warren County Consortium for Student Enrichment” and mail them to our treasurer Christine Drevitch at the following address. Christine Drevitch Washington Twp. Brass Castle School 16 Castle Street Washington, NJ 07882