TFKT Registration Summer Camp 2012 .pdf
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Original filename: TFKT Registration Summer Camp 2012.pdf
Title: Theater for Kids/Teens
Author: Queen
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Theater for Kids/Teens Registration Form
“Like” us on
Facebook *
757-635-6096/425-1445
Theaterforkidsteens1@gmail.com ~ www.theaterforkidsteens.com
(Each child needs its own Registration form. Please, Print Clearly)
Name
Age
Date
Birthday
Grade
Address
School:
City
Zip
2nd Phone #
Reachable Phone #
Do you check your
email regularly?
E-Mail Address
Parent(s) or Guardian(s) name(s)
Emergency Contact if you are unavailable
Child’s/Teen’s training,
talent(s) or skill(s)
Child’s/Teen’s area(s)
of difficulty
How did you hear about us
Sessions/Workshops 2012
Class
Day
Time
Class
Day
Time
Summer Camps 2012
Younger
Children
June 18-29 9am-3pm
July 9-20 9am-3pm
August 20-31 9am-3pm
June 18-29 9am-12pm
July 9-20 9am-12pm
August 20-31 9am-12pm
Tuition Fees are to be paid in advance to the first class unless you have made installment
arrangements in which a $50 Deposit is required.
Checks payable to: Theater for Kids/Teens, 219-A 70th Street, Virginia Beach, VA 23451
Theater for Kids/Teens is a Community driven non-profit
organization. Is there an area of skill, talent or resource that
your family might be able to assist us with? Examples:
Plumber, Electrician, Sewing, Building, Media, Painting,
Xerox Copies, Other:
Full tuition
or $50.deposit
In the case of injury, I will not hold
Grace Atkinson, Theater for
Kids/Teens or Pembroke Mall liable.
Name
I approve the use of media images
taken of my child, for the use of
TFKT marketing purposes.
Name
installments
Date
Date

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