The Coterie Theatre School
     The Coterie
        2020 Fall & Winter Class Registration Form
2450 Grand Blvd., Ste. 144
Kansas City, MO  64108
Register by phone: 816.474.4241
-One In-Person class site:  Miller-Marley School of Dance and Voice, 10448 Mastin Street, Overland Park KS
-Live & Virtual class site:  Join The Coterie from your home!  
Select either In-Person OR Live/Virtual.  Each option has a maximum number of spaces to allow a productive session.
-SPRING TERM (March-May) will be posted no later than February. In-person or virtual is TBD.

Student Information (One student per form)

Allergies and/or Special Needs *

Parent/Legal Guardian

I authorize the program directors to arrange emergency treatment by qualified personnel for my child *
I authorize the use of my child's image in any future web or print advertisements and understand that my child's name will NOT be used. *

Emergency - First Person Teacher Should Call (Parent? Other?)

Contact Parent/Legal Guardian (listed above) *
Other Emergency Contact (Not required)

Check Class(es) to Register

Spring classes will be posted in late February.
Location:  Miller-Marley School of Dance and Voice, 10448 Mastin Street, Overland Park KS
All times listed are Central Time

Current Total:

Gift Certificate

Is this class a gift?
If NOT a gift certificate, leave address field below BLANK.
If YES, mail Gift Certificate to:

Discounts & Donation Levels

Discounts can not be combined
Donation Levels - For information about giving level benefits contact Joette Pelster at 816-994-8837

Refund Policy

The Coterie will provide a full refund if given notice two weeks before the first day of the class. Notification must be received two weeks before the first class day for a refund or to request a move to a different class. *

Payment - Required at time of registration

Current Total:

How Did You Hear About Our 2020-2021 Classes?

Check all that apply *