Children's Workshop Registration & Payment Form

First name*

Last name*

Email*

Student Name*

Student Age (as of July 2025)*

Primary Contact Name*

Primary Contact Phone Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Student Allergies (if any)

Student Learning Differences (if any)

Conflicts

Product*

Tuition$225

admin@wcloc.org

Grandview Playhouse
21 Grandview Avenue
Worcester, MA 01603

Contact

WCLOC is a proud member of the Worcester Cultural Coalition

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