Class Registration Form

Use this form to register for curriculum-based classes at the Kimmel Center. Groups are permitted to attend up to five different classes during the course of the season.

Contact Name
School
School Street Address

City
State
Zip
School District
Phone
Fax
Contact Email
No. of Students	(33 maximum, not including teachers/chaperones)
Grade Level
How Did You Hear About Us:
Notes	Please indicate if you are in need of a bus and if your group includes any students with special needs.