Firehouse Registration Form

ADVANCED CHILDREN'S WORKSHOP

REGISTRATION FORM

(All fields are required)

Last Name of Child
First Name of Child
Street Address
City
State
ZIP
Phone
Email
Parent's Name
Grade in School Next Year
Child's Age
Years of previous TC Workshps
If no TC workshops, describe plays or other productions that might qualify the child for the Advanced Workshop

This form is for credit card payment only. To pay by check fill out this Registration Form and mail it to:

PO Box 1232

Coppell, TX 75019

Thanks for supporting the arts in Coppell!