Viewridge K-3 We would love to have your child join us for a class. Please complete the form below to register your child. Please note, registration forms will be processed in the order they are received. Classes do have size limits. We will contact you directly to confirm your registration. Registration will be complete when we receive your payment. Parent/Guardian informationName* First Last Parent/Guardian #1Email* Parent/Guardian #1Contact Phone*Parent/Guardian #1Name First Last Parent/Guardian #2Email Parent/Guardian #2PhoneParent/Guardian #2Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child InformationChild's Name* First Last Age*4567891011Date of Birth* Grade in School*Select OneKindergartenFirstSecondThirdDoes your child have any allergies or medical conditions we should know about?*NoYesIf you answered Yes, please list them below* What is the name of your child's teacher?*What is your child's room #?*Is there anything else we should know about your child? How did you hear about us?RadioTelevisionNewspaperBillboardPosterHandoutMy child's SchoolA FriendA ColleagueA little birdieEmergency ContactPlease list a local emergency contact other than parent/guardian. Name* First Last Email Phone*Relationship to child*What are your pick up arrangements?*Alternate Adult Authorized to pick up ChildName First Last PhoneRelease FormI hereby give permission to Wedgwood Drama Studio to photograph and video my child while involved in class activities and performance and I hereby give authorization to Wedgwood Drama Studio to use such photographs for ALL promotional use - website, brochures and/or other publicity purposes.Permission*Select OneI DO NOT grant my permissionI grant my permissionPayment Method*Select OnePay with PayPalPay with a Credit CardCredit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Class Registration amount* Price: $242.00 WDS Class/Camp Cancellation Policy: Your payment includes a $40 non-refundable registration fee. In order to receive a full refund on class/camp tuition, you must cancel two weeks before the class/camp begins. If you cancel with less than two weeks’ notice, no refund will be given. If after attending the first class you decide the class is not the right fit, please let us know before the second class and we will refund your tuition minus the registration fee. Cancellation by WDS: If enrollment for a class is insufficient, we reserve the right to cancel the class/camp. In this case, tuition will be refunded in full.