Class Registration Form

Class Registration
Name*

First NameLast Name
Age*
Gender

MaleFemale
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information

For minors (below 18 years of age)
Parent/Guardian Name

First NameLast Name
Phone Number
Email
example@example.com
Relationship
Other
Do you want to add enroll more students?

YesNo
Additional students
Select the Class you would like to register for*
Parent/Guardian Signature

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Date Signed

MonthDayYear
Date
If you have any questions, please email or call us.

Class Fee for three subjects per session

Discounts for muliple enrollments per family

1st Child $175 / 2nd Child $150 / 3rd Child $120

Please use QR code to pay for registration. Checks can also be made out to NWCF

P.O. box 39021

Lakewood, WA 98496
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