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NEW CENTRE FOR THE ARTS
Registration Form

Thank you registering for classes New Centre for the Arts. Complete ONE FORM PER STUDENT PER CLASS.  Registration obligates a student to pay for a full semester, session, or class even if missed by the student.

PayPal provides our secure online payment shopping cart.  Payments for classes and/or lessons may be made from the respective class or lesson information page.

**$15.00 registration fee is waived if the form is completed online.  To print out the Registration Form, please click HERE.

**NOTE:  Please do NOT hit your ENTER key until you have finished filling out the form!

STUDENT:  How did you hear about NCA?
SEMESTER:                       Summer   Fall   Winter   Spring

First and Last Name:      Male        Female
Address:   City/State/Zip:
(Home)Phone:    Adult/Students (Work)Phone:
Adult/Parent Email:   Cell Phone:
Date of Birth: MM DD  YY  Age:   Grade:   School:
 
PARENT/GUARDIAN(S): If billing is different than above, or if family member surnames differ
from each other, please note below)
Mother/Father First & Last Names:
Mother's Work Phone:      Father's Work Phone:
Mother's Employer:     Father's Employer:

PRIVATE INSTRUCTION:
Instrument:   Teacher:
Lesson Length:     Frequency:
Preferred Days/Times:
Unavailable Day/Times:
Prior Training/Experience:
 
CLASSES (Dance, Theatre Arts, Workshops, Music, Other)
Class:     Teacher:

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New Centre for the Arts
203-313-5739

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