EDUCATION PROGRAMS 2010-2011 REGISTRATION FORM

To register online, complete the form below. After submitting this form you will be directed to
PayPal where you can make payment with your credit card or PayPal account.
(A PayPal account is not required to pay with a credit card via PayPal)

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Note: One registration for per student. Payment must be made at time of submitting this registration form.

STEP 1: Please complete the requested information. Parents of students 17 and under should complete section 1A. Students 18 and over should complete section 1B.

SECTION 1A Address and contact information for STUDENTS 17 AND UNDER (students 18 and over should skip to section 1B)
Student Name:
Street Address:
City/State/Zip:
Birthdate (mm/dd/yy):
Age:
Parent/Guardian Name:
Parent/Guardian Address:
City/State/Zip
Parent/Guardian Daytime Phone:
Parent/Guardian Cell Phone:
Parent/Guardian E-mail:
I certify that I am this student's parent or legal guardian (this is your digital signature) required

SECTION 1B Address and contact information for ADULT STUDENTS (18+):
Student Name:
Street Address:
City/State/Zip:
Daytime Phone:
Cell Phone:
E-mail address:

STEP 2: Please review the list of classes below and check the box(es) next to the desired class(es) and enter the fee in the column on the right.

CLASSES		FEE
ADVENTURES IN THEATRE
From Here to There ages 6-8, Saturdays. Sept. 18-Oct. 16, 9:30-10:30 $60		$
Cracking The Code ages 9-13, Saturdays. Sept. 18-Oct. 16, 10:45-noon $75		$
If you give an Actor and Apple ages 6-8, Saturdays. Oct. 23-Nov. 20, 9:30-10:30 $60		$
Go with the Flow ages 9-13, Saturdays. Oct. 23-Nov. 20. 10:45-noon $75		$
Comedy Club ages 6-8, Saturdays. Jan. 15-Feb. 12. 9:30-10:30 $60		$
Comedy on Demand ages 9-13, Saturdays. Jan. 15-Feb. 12. 10:45-noon $75		$
Trekking for Treasure ages 6-8, Saturdays. Feb. 19-March 19. 9:30-10:30 $60		$
Shakespearience ages 9-13, Saturdays. Feb. 19-March 19. 10:45-noon $75		$
Magical Myths ages 6-8, Saturdays. April 16-May 14. 9:30-10:45 $60		$
Intro to Stage Combat ages 9-13, Saturdays. April 16-May 14. 10:45-noon $85		$
WORKSHOPS FOR KIDS
Storybook Magic (CHILD ONLY) ages 3-5, Wednesdays, Oct. 20-Nov. 17, 10:00-11:00 $60		$
Storybook Magic (PARENTS & CHILD) ages 3-5, Wednesdays, Oct. 20-Nov. 17, 10:00-11:00 $75		$
In the Spirit of Competition (INDIVIDUAL) grades 8-12, Dec. 7, 9, 14, 4:30-6:30 $70 (ind.)		$
In the Spirit of Competition (GROUP OF 8 or less) grades 8-12, Dec. 7, 9, 14, 4:30-6:30 $160		$
Drama for Homeschool Students ages 10-16, Wednesdays, Oct. 6, 13, 20, 10:00-11:30 $90		$
TEEN CONSERVATORY
An Actor Prepares ages 13-18, Sept. 20, 27, Oct. 4, 11, 18, 25, Nov. 1, 8, 15, 22, 4-6pm $240		$
Building a Role ages 13-18, Jan. 10, 17, 24, 31, Feb. 7, 9, 14, 16, 23, 28, Mar. 1-4, 4-7pm $420		$
ADULT CLASSES
The Art of Stage Makeup ages 16 and up, Sat. Oct. 23, 1:00-5:00 $50		$

	TOTAL DUE:	$