CTC Registration Spring 2017

Student #1 Full Name:*
Student #1 Age:*
Select Class #1:*
Student #2 Full Name:
Student #2 Age:
Select Class #2:
Student #3 Full Name:
Student #3 Age:
Select Class #3:
Parent Full Name:*
Parent Email:*
Parent Phone:*
Mailing Address:
City:
Zip Code:
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Relationship


By clicking below, I authorize the directors, teachers and volunteers of CTC as agents for the undersigned to consent to medical treatment in an emergency. I hereby release and discharge CTC, its director, teachers and volunteers from any and all claims due to negligence resulting in personal injury, beyond any available insurance coverage.
Emergency Medical Treatment Waiver


By clicking below, I agree that photographs of my child taken during CTC class hours may be used for promotional purposes by CTC, but will not be used by other organizations without additional written consent.
Photography Waiver

Payment Type: