Wichita Children's Theatre
& Dance Center

2007 - 2008 Online Class Registration Form

Please fill out the Class Enrollment Form below and submit it to WCT&DC. You may also send us the information via regular mail, email or phone. From that information, we will enroll your student.  You will be contacted shortly before the first day of class to confirm your enrollment (you may certainly contact us before then). Please make extra sure this form is COMPLETELY and CORRECTLY filled out. If we have to contact you for missing information, it will lengthen the processing time of your enrollment.  Remember that all enrollments are "first-come, first-served."

Parent/Guardian Info

Name
Street Address
City
State
Zip Code
E-mail
Home Phone
Work/Cell Phone

Student #1

Student's Name
Date of Birth:
Age (as of 1st day of class)
1. Class Title
1. Class Day/Time
2. Class Title
2. Class Day/Time
3. Class Title
3. Class Day/Time

Student #2

Student's Name
Date of Birth:
Age (as of 1st day of class)
1. Class Title
1. Class Day/Time
2. Class Title
2. Class Day/Time
3. Class Title
3. Class Day/Time

Student #3

Student's Name
Date of Birth:
Age (as of 1st day of class)
1. Class Title
1. Class Day/Time
2. Class Title
2. Class Day/Time
3. Class Title
3. Class Day/Time

PAYMENT METHOD  (we now accept Visa & MasterCard - please contact us)

DISCOUNTS  (Please select only ONE):

10% - Season Subscribers (First month tuition only) Yes No 
10% - Full Semester Dance Tuition (must be paid with Sept and/or Jan payments) Yes No 

Enter any notes or comments in the space provided below:

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For Registration Help or more Information,
Feel free to contact us at the address below: