Theater for Kids/Teens Registration FormFacebook

757-425-1445/635-6096 theaterforkidsteens@cox.net ~ www.theaterforkidsteens.com (Each child needs its own Registration form. Please, Print Clearly)
Name Ag Birthda y Grad e Cit y 2nd Phone # Do you check your email regularly? School: Zi Dat e

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Addres s Reachable Phone # E-Mail Address Parent(s) or Guardian(s) name(s) Emergency Contact if you are unavailable Childs/Teens training, talent(s) or skill(s) Childs/Teens area(s) of difficulty How did you hear about us

Full tuition

or $50.deposit

installmen ts

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:
In the case of injury, I will not hold Grace Atkinson, Theater for Kids/Teens or Pembroke Mall liable. I approve the use of media images taken of my child, for the use of TFKT marketing purposes.
Name Dat

Nam e

Dat e

* For Liking us on facebook New students receive $35 off enrollment * Current students $15 off next session enrollment. * If you get a friend to sign up you get $35 off your next session enrollment.