Registration Form for St. Joseph's
After School Program in Acting
(Please print out this page, fill in the form, and fax or mail)
Yes, I want to register for St. Joseph's After School Program in Acting at The Schoolhouse Theater. I understand this class will meet at St. Joseph's for a total of 8 Mondays from 3 to 4:30pm on the following dates: December 11 & 18, January 8, 22, & 29, and February 5, 12, & 26. The cost of the program is $80.
Name of Student ___________________________ Grade _____
Name of Parent or Guardian ______________________________
Address ______________________________________
_____________________________________________
Phone Number __________________________________
E-Mail Address _________________________________
Method of Payment: __ A Check Payable to The Schoolhouse Theater
Please charge my: __ Amex __ Mastercard __ Visa
Card # __________________________________ Exp. Date _______
Signature of Card Holder _____________________________________
| Fee for program is due prior to first class. Should a class be canceled due to inclement weather, a make-up date will be scheduled. | Please complete
this form, and fax to: Attn: St.
Joseph's Class Forms must be received no later than Thursday, December 7. For questions please call The Schoolhouse Theater at 914-277-8477 |