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Excalibur! The Story of Young King Arthur Registration
Student Information
Student First Name
*
Student Last Name
*
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Street Address
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Address Line 2
City
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State
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Washington DC
Zip Code
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Phone Number
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Email Address
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Student Age
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Emergency Contact Information
Please provide at least one other contact for use in case of emergency.
First Name
*
Last Name
*
Phone Number
*
Relation to Child
*
First Name
Last Name
Phone Number
Relation to Child
Preferred Hospital
Insurance Company
Insurance Policy #
Insurance Phone Number
Medical Information
(Please list any medical information that the instructor/director should be aware of: allergies, medications, medical conditions, etc.)
Excalibur!
Please select the show you wish to participate in for the fall of 2020.
Excalibur! The Story of Young King Arthur : Sept 22nd to Dec 12th
Tuesdays from 6:30 - 8:00 PM and Saturdays from 10:00-11:30 AM
Scholarship Donations
Every semester PACE offers scholarships to families in need. If you are able to donate, we would greatly appreciate it.
PACE works to make our classes, camps, and productions available to all families in our community. If you are able, please consider donating to students in need of a scholarships.
Not this time - $0
Goodwill Donation - $10
1/4 Scholarship - $50
1/2 Scholarship - $100
Full Scholarship - $200
Total Amount Due
If your child is attending more than one class with PACE, select the Multi-class 20% discount below.
Multi-class 5% discount
If more than one of your children are participating in a PACE class, select the Multi-child 5% discount below.
Multi-child 5% discount
Calculate Total with all discounts and donations included.
$0.00
Calculate
Please continue to review your registration and pay using PayPal
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