Ages 8-10

April 18, 2020 9:00AM - April 18, 2020 1:30PM

Theatre School Spring 2020

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April 18, 2020 9:00AM

Ages 8-10

April 18-May 16, 2020 Saturdays 9am-11am

Please read the following before making your selections below.

A 50% deposit is required at the time of registration or you can choose to pay in full. The balance is due one week prior to the first class; your tuition balance will be deducted automatically. If you have any questions, please call us at 610.647.1900 Ext. 137

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Theatre School 50% Deposit $92.50
Theatre School Full Price $185.00

Child / Registrant Information

First Name:

Last Name:

Date of Birth:

Name of School: (if applicable)

Grade for 2019-2020 School Year: (if applicable)

Does the student have any allergies (food, medication, etc) or dietary restrictions? If yes, Please list ALL below. If no, please write 'none'.

Does the student regularly take any medications that we should know about? If yes, please list below. If no, please write 'none'.

Does the student have any other medical concerns we should know about (ie injuries, chronic health problems)? If yes, please list below. If no, please write 'none'.

Guardian Information

Name

Address:

City:

Country

State/Prov:

Postal Code:

Primary Phone Number:

Primary Email Address:

Alternate / Emergency Contact Information

Alternate/Emergency Contact Name:

Relationship to Student:

Alternate/Emergency Contact Phone:

Waiver

MEDIA RELEASE: At times, People’s Light (PL) uses photos, video footage, and student quotes in print and electronic publications, on social media, and in media coverage of our programs. Checking the box below grants permission to PL to use photographs/video of the registered student while participating in our programs for these purposes.

Yes I understand and accept the above Media Waiver.

People’s Light (PL) assumes no liability for injury or damages arising from the result of participation in its classes, workshops, camps or programs unless due to gross negligence or willful fault on the part of People’s Light. I hereby approve the registered student’s participation in this activity and consent to emergency medical treatment for the registered student at Paoli Hospital on my behalf. To the best of my knowledge, there are no physical or other conditions that may interfere with the registered student’s participation.

Yes I understand and accept the Liability Release.

I have read, understand, and accept People's Light's REFUND POLICY.

Yes I agree.

How did you hear about this theatre class?:

It is okay to contact me via phone about future opportunities at People’s Light:

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Event details

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Notes

Please read the following before making your selections below.

A 50% deposit is required at the time of registration or you can choose to pay in full. The balance is due one week prior to the first class; your tuition balance will be deducted automatically. If you have any questions, please call us at 610.647.1900 Ext. 137

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Available Sections

Options for Enrolled: $92.50 - $185.00

Theatre School 50% Deposit $92.50

Theatre School Full Price $185.00