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*Required information.


LCT, too! 2017 Class Registration

Session registering for:

Session 1: 3rd-5th Grades
January 7 - February 28

Session 1: 6th-8th Grades
January 7 - February 28

Session 2: 3rd-5th Grades
September 9 – October 28

Session 2: 6th-8th Grades
September 9 – October 28

Child's name *
Parent(s)/guardian(s)name(s) *
Home Phone
Mobile Phone
Work Phone
Parent/guardian email *
Emergency contact Name
Emergency contact Phone
Any medical conditions? ((Any prescriptions required during the class period must be administered by others))
Any allergies?
Additional information

Payment must be received, in full, no later than two weeks prior to a workshop’s start date. Checks or
money orders should be made out to the Lindale Community Theater.
Each class requires a minimum of 8 students and will have a maximum of 16. In the event that there are
not enough students – or that the class is already full – you will be notified no later than one week before
the course is scheduled to start. Registration may be done online or by mail:
Lindale Community Theater
P.O. Box 2424
Lindale, TX 75771

Add the number below, Do not copy the text.


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