Main Street Academy

STUDENT REGISTRATION FORM

(PLEASE READ ENTIRE PAGE WHEN REGISTERING)

Mail-in registration is on a first come first serve basis. Registration may be completed by March 5th,  if the child is "pre-registered" by phone (732-739-1404). In person registration will be for the remaining class openings.

WE WILL NOTIFY ONLY IF YOUR ENROLLMENT BY MAIL CANNOT BE ACCEPTED.

In person registration held on Saturday morning by appointment, March 5th, at The Main Street Theatre at Garden Friends, 3018 Bordentown Avenue, Parlin. Please call 732-739-1404 for time.

Please make checks payable  to Main Street Players. 

Please PRINT and COMPLETE form,

MAIL TO: Main Street Theatre at Garden Friends, 3018 Bordentown Avenue, Parlin, NJ 08859 -   ATTENTION: Vic Morosco

All tuition fees are to be mailed in with registration form.

 

Name:_____________________________________________________________Age:___________

Address:__________________________________________________________________________

             ___________________________________________________________________________

 

Home phone:______________________________Cell Phone:_______________________________

 

Emergency contact name:_____________________________________________________________

Emergency contact phone:_____________________________________________________________

                                                            

Physician’s name:_______________________________________________________ ____________

Physician’s phone:___________________________________________________________________

Allergies or personal notations:_________________________________________________________

__________________________________________________________________________________

 ............................................................

Please check the session your child will be attending.

____Imagination and Creativity for Ages 6-8, (9:00 to10:00 AM) - $150.00 plus $5.00 Material Fee

____ In the Spotlight for Ages 9-12, (10:15 to12:00 AM) - $275.00 plus $5.00 Material Fee

____ Master Class for Young Actors for Ages 13-16, (10:15 to12:00 AM) - $275.00 plus $5.00 Material Fee

 

Session are on Saturday mornings Jan 15th  to Mar 5`th