Workshop Request Form
(Print This Form and Mail to RCT With Payment)

 
Student's Name: _______________________________
Age: ________
Workshop(s) Requested:_______________________
Parent(s) Name :____________________________      
Address: __________________________________
_________________________________________
 Phone (evening): ___________________________
Phone (day): _______________________________
email address:______________________________
 
Amount enclosed:__________
(remember to include $35 RCT membership if this is your first workshop or your membership has expired!)
¦ Check enclosed ¦ Visa ¦ Mastercard (circle one)
Card Number____________________Expiration_______      
(5% processing fee added to credit card orders)

Mail this form to:
RCT, 650 N Coit Rd #2320 Richardson, Texas 75080
or Fax this form to: RCT at 972-690-4607.
For more information on tickets, group rates or workshop enrollment, call 972-690-5029 .