CTA Fall Class Registration Form
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Please list all email addresses that would like to receive information about classes and camps.
Student(s) Date(s) of Birth
Student(s) Current Grade(s)
Parent/Guardian Name (if under 18)
Phone Number (please list all that apply)
Please list the dance and/or musical theatre classes you would like to enroll your child(ren) in.
For dance students, a costume deposit of $50.00 will be charged in November with tuition
We will be doing publicity that will involve print and/or electronic media. Please a check the box below regarding your child's likeness being seen or heard in the media.
My child has my permission to be photographed and/or recorded for the purposes of publicity for SCT
My child does NOT have my permission to be photographed and/or recorded for the purposes of publicity for SCT
A confirmation email will be sent to you with your total. Payment Information: Please check one box.
Charge my card that CTA has already on file
I will bring a check or cash before the due date
I will call SCT at 785 827 6126 to provide credit card information
Credit Card information provided below
Credit Card Information including name on card, card number, and expiration date
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