By Fax:
1. Print the form below
2. Fill our the form below
3. Fax to MTC at (203) 226-6629
By Mail:
1. Print the form below
2. Fill our the form below
3. Mail to MTC, P.O. Box 344, Westport, CT 06881-0344
Online (by Email):
1. Click
here to open the online registration form. Note: This page will open in a new browser
window, so that you can refer to class descriptions,
etc, while completing the form. For a list of class
descriptions, click here.
2. Fill out the form hit the "Submit"
button.
3. Your form will be emailed to MTC, who will contact
you to confirm the registration and finalize payment. NOTE: If
you do not hear back from MTC within 24 hours, please
call 203.454.3883
NOTE: CLASS PLACEMENT IS NOT GUARANTEED
UNTIL FULL PAYMENT IS RECEIVED.
REGISTRATION FORM
Name:
Address:
City,
State, Zip:
Date
of Birth, Age, Sex:
School:
Home Phone:
Cel phone:
Parents’
E-Mail Address:
Father's
Name:
Mother's
Name:
Father's
Occupation:
Mother's
Occupation:
Father’s
Business Name:
Mother’s
Business Name:
Father’s
Business Phone:
Mother’s
Business Phone:
Emergency
Contact Name:
Emergency
Contact Phone:
How
did you hear about MTC?
(Newspaper, Website, Friend, Other)
Class
Name
Day
& Time
Semester/Beginning
Date
Tuition
.
.
.
$
.
.
.
$
.
.
.
$
$
Total
Semester Tuition
$
Annual
Registration Fee
$
25.00
MTC
has been providing the the community
high-quality
performing arts training for 20 years,
but we can’t do it without your
help!
You can make a difference now by adding
a tax-deductible gift
to the price of your tuition. Suggested
tax-deductible donation of:
$
40.00
or donation of your
choice:
$
GRAND TOTAL
$
METHOD
OF PAYMENT
___ Check enclosed (payable to Music Theatre
of CT)
___ Charge my: ___VISA
___MasterCard
Card #_________________________________
Expiration Date ___________
I
have read and understand MTC's policies
and procedures and agree to adhere to
them.
