2018 Youth Registration

2018 Youth Registration

Please register online prior to arriving for your class or workshop.
Program Interest *

Kids (7-12) Winter Session Teens (13-18) Winter Session Kids (7-12) Spring Session Teens (13-18) Spring Session Kids (7-12) Dick Tracy Summer Workshop & Production Teens (13-18) Dick Tracy Summer Workshop & Production Kids (7-12) Fall Session Teens ( 13-18) Fall Session
Parent if under 18

First Name Last Name
Participant Full Name

First Name Last Name
Gender

Female Male
List any medical issues
Date of Birth (if minor)
Grade (if minor)
Participant Full Name

First Name Last Name
Gender

Female Male
List any medical issues
Date Of Birth (if minor)
Grade (if minor)
Participant Full Name

First Name Last Name
Gender

Female Male
List any medical issues
Date Of Birth (if minor)
Grade (if minor)
Phone Number *

- Area Code Phone Number
E-mail *
Occupation *

Address *

Emergency contact person

First Name Last Name
Relationship
Phone Number

- Area Code Phone Number
Skill level

Absolute beginner (never taken class before) Beginner 1-2 years prior training Advanced beginner 2 plus years training Intermediate 3 plus years training Advance 5 plus years of continuous training
Briefly explain prior training
Three things you would like to gain from program? *
By signing up I understand classes and rehearsals take priority over social events- during the session? *

Yes
How did you find us? *
I understand T3 may use photo's and video footage taken for future promotions. *
I understand by submitting this form I'm committing to the length of the program and I agree to the refund policy *

Yes
Tuition

Tuition can be paid in full or made in 3 payments of $120.00 $ 360.00

Quantity

Total $ 0.00
Payment Plan

I'd like to pay in full 1 payment $360.00 I'd like 2 monthly payments of $180.00 I'd like 3 monthly payments of $120.00 Pay at Studio
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