Romeo and Juliet~
Registration Form
Learner’s Name:___________________________________________ Age:__________________________ Date of Birth: _______________ Grade Level: _____________ School: _____________________________ Parent Names: ___________________________________________________________________________ Address:________________________________________ Work Phone: ____________________________ Home Phone: ____________________________ Cell Phone (Parent): ______________________________ Parent(‘s) Email Address(es): ________________________________________________________________
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It is okay to contact my child’s cell phone number: __________________________________________________ It is okay to Email, Facebook, Myspace, etc. my child at:_____________________________________________ It is not okay to contact my child directly! I would like to be involved in the parental community at Studio BE. Please contact me. I am interested in being a part of the Studio BE Board of Trustees!
How did you hear about Studio BE? ____________________________________________________________________ Do you have a promo code? __________________________________________________________________________
Parent Signature: __________________________________ Date: __________________________________ Registering My Learner For:
☼ Romeo and Juliet Intensive-Includes 3 Shakespeare Workshops!
Before January 31st $375 After January 31st, $449
☼ Shakespeare Workshop(s)-If you are enrolled in Romeo and Juliet, skip this! □ Understanding Shakespeare, 1/30/2010, 2:45pm-5:15pm --$40 □ Combat for the Shakespearean Stage, 2/13/2010, 2:45pm-5:15pm--$40 □ Acting for the Shakespearean Stage, 2/20/2010, 2:45pm-5:15pm--$40
* Studio BE Accepts Cash or Check Only □ Cash Payment □ Check #________________________________
A registration fee of $25 is due only for those learners at Studio BE for the first time~ This is a one-time fee. Love those~ **Mail, fax, email, or drop off registrations. Visit our website at www.Studio-BE.org | 3110 North Sheffield Ave, Chicago, 60657 | Fax 773.248.5901 | info@studio-be.org | Ph 773.248.5900 |