AGOURA CHILDREN'S THEATRE

Established 1980

Enrollment Form

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Complete and Sign Form
Mail To:
SUSAN ELTON
22726 Mariano Street
  Woodland Hills, Ca 91367

A.C.T.
CLASS SIGN UP INFORMATION



STUDENT'S NAME_______________________________________________________________

PARENT'S NAMES_______________________________________________________________

ADDRESS_____________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

HOME PHONE NUMBER__________________________________________________________

CELL PHONE NUMBERS__________________________________________________________

E-MAIL ADDRESS_______________________________________________________________

STUDENT'S BIRTHDAY____________________________________________________________



MAKE ALL  MONTHLY CHECKS PAYABLE TO AGOURA CHILDREN'S THEATRE


CHECKS ARE DUE THE FIRST CALL DAY OF EACH MONTH


I agree to comply with the following:

All payments of $130.00 will be made on the First Class Day of every month.

I agree to be financially responsible to pay for the entire Class Session up to the Parental Viewing.

All students are required to be present for all rehearsals.


PARENT'S SIGNATURE_____________________________________________________________

DATE__________________________________________________________________________