Student Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Gender *

Male

Female

Prefer not to say

Parent / Guardian 1 *

First Name

Last Name

Phone *

(###)

###

####

Parent / Guardian 2

First Name

Last Name

Phone

(###)

###

####

Family Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Payment Choice

Please choose one of the following options for how you wish to pay. Once you hit Submit, you will be taken to the PayPal page. There are fees associated with PayPal, if you wish to avoid the 5% please etransfer to yonderwindowinc@gmail.com

Seedlings / Broadway Babies 10-week class - $220

Adult 3-hour Workshop - $60

SUMMER STARS - Pay in Full - $315

SUMMER STARS - Two installments - $175