Child's Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Mother's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Father's Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I consent to photos and videos of my child being used online, in newsletters, and for marketing purposes. *

yes

I agree to have my student dressed in proper WTC dress code stated on the website. *

Please note that after 3 misses of proper dress code, faculty will ask students to leave class until they are in proper dress code.

yes