Plotline Fall 2024 Tween Registration

Student's Full Name*

First NameLast Name

Birth Date

Date

Parent/Guardian Full Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Which way do you prefer to receive class updates?*

TextE-mailPhone Call

I have read and my student and I agree to the terms of the Filmclass Policy*

Yes

Any allergies, health restrictions or learning challenges we should know of?*

List two emergency contacts for the Student:*

	Full Name	Relationship	Contact Number
1
2

Would you like to subscribe to the Plotline newsletter?

YesNo

How did you hear about Plotline & this program?

Tuition is $375 for the semester. You can pay the full tuition or in four installment payments of $95 each month.*

Pay by Debit or Credit CardPay by Check

Please make check payable to Plotline.

Include Full Tuition $375 or the first of four installment payments of $95.

Bring payment to class or send to:

Plotline

411 N Sherman Pkwy

Springfield, MO

65802

Tuition Options*

Full TuitionPay Full Tuition Now

$375.00

Pay Installments$95 due now. You'll be invoiced $95 for the next three months for the remainder.

$95.00

Total

$0.00