Class Registration | LIMELIGHT PERFORMING ARTS CENTER - WEST CHESTER, PA

CLASS REGISTRATION

Payment must be received within a week of completed registration form.
ALL INFORMATION MUST BE COMPLETED ON THE FORM OR IT WILL NOT BE ACCEPTED.
Please make checks payable to:
Limelight Performing Arts Center
319 Westtown Road
Suite W.
West Chester, Pa 19382

Class Registration Form

Participants Name
Address
City
State
Zip
Cell Phone #
Alt Phone #
Parents Name
Emergency Contact Name
Emergency Contact Cell
Please make note of any allergies or medical needs/medical conditions your child may have. (All information will be kept confidential)
Grade Level
Gender

Class Information

Class Name
Email *
Would you like to receive an email newsletter about upcoming events and specials? *
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Verification

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