Print and mail registration to MASTER ARTS THEATRE, 75 77th St SW, Grand Rapids, MI 49548
OR, call to register by phone using a MasterCard or VISA! (616) 455-1001 or 1-800-455-5003
—————————————————— ——————————————————
2008 Registration Form: Fall Classes @ Master Arts
Student Name:___________________________________________________________
Sex M F Age _____ Birth Date:____/____/____
Entering grade _____
Parent or Guardian's name(s):__________________________________________
Home phone: (______)_______________ Daytime phone: (______)_______________
Address:__________________________________________
City, state, Zip: __________________________________________
Email:_____________________________________
Drama
[ ] Imagine It - (Ages 6 - 8), 4:15 - 5:30 PM, 10 weeks beginning
Thursday, September 18 $85.00
[ ] Creative Concepts - (Ages 9 - 12), 4:15 - 5:30 PM, 10 weeks beginning Thursday, September 18 $85.00
[ ] Teen Class V - Be Prepared: Auditions, Stage Wisdom and Theater History - (Ages 13 - High School), 4:15 - 5:45 PM, 10 weeks beginning Thursday, Sept. 18 $100.00
Payment due to secure registration:
Enclosed is my check for $________________, payable to Master Arts Theatre. I hereby release, absolve, indemnify and hold harmless the Master Arts Theatre directors and staff members; and in case of injury during normal routines and activities outlined above, I hereby waive all claims against the above. I assume all risk incidental to the conduct of these activities and transportation to and from Master Arts activities. In case of injury during camp hours call:
_______________________ at (_____)_______________ (ph#)
and/or our family physician:
_______________________ at (_____)_______________(ph#).
Parent or Guardian Signature: __________________________________ Date: ________