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:
914-277-2269 OR mail to:

Attn: St. Joseph’s Class
The Schoolhouse Theater
3 Owens Road, Box #300
Croton Falls, NY 10519 

Forms must be received no later than Thursday, December 7. For questions please call The Schoolhouse Theater at 914-277-8477