Registration

Class Registration Form

Copy and paste this form into your word processing program and print it. It can then be mailed (with payment) to QCT at 300 Civic Center Plaza, Suite 118, Quincy, IL 62301.

Participant's Name
Grade
Class Selection
Participant's Name
Grade
Class Selection
Address
City
State
Zip
Parent / Guardian Names
Home Phone
Emergency Phone
Email Address
T-Shirt Size (for Boot Camp participants only)

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