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 MoroscoAll 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:_________________________________________________________
__________________________________________________________________________________
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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