Registration 2017
Student First Name:
Student Last Name:
Address:
City:
State / Zip: /
Employer:
Phone(H):
Phone(W):
E-mail:
Class Information
Class Title:
Day and Time:
Course Code:
Session:
Instructor:
Tuition Cost: $
Lab Fee: $
Summer Camp After Care Fee: $
Less special discounts (i.e. scholarships, family discounts, financial aid, etc.)
Total Payment: $
* WPCC students must register via US mail or telephone 610.433.0032. Please contact the registrar at registrar@baumschool.org with further questions.
For Children's Classes Only
Student's Date of Birth:
Parent's Name:
Payment Information
Card Type:
Account Number:
Expiration Date:   /  
CVV Code:
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