Virtual Summer Stages
Fill out completely. You will receive a confirmation of registration. All participation fees must be paid in full prior to the start of the session. All sessions take place over Zoom. Participants must have a way to record themselves. Any questions, please email programs@NCTCArts.org.

Child's Name *
Date of Birth *
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Which session? *
Child's School *
Child's Grade (entering) *
Parent/Guardian's Name: *
Parent Email Address *
Street Address *
Town *
Zip Code *
Parent Cell # *
Emergency Contact OTHER than Parent *
Cell # *
I give my child, mentioned above, permission to participate in NCTCs Virtual Class (listed above). My child my be photographed and/or videotaped during the course of the program. I understand that NCTC may use such images for archival and promotional purposes. *
Payment
Clear selection
If you have a credit, please indicate below from which program, amount, check #, name on check and date of check. Thanks!
Date Signed *
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Submit
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