Summer Drama

LLA DRAMA 2010 REGISTRATION FORM

NAME:______________________________________________________________________ AGE________ GRADE__________

ADDRESS:____________________________________________________________________________ ZIP_________________

MOM'S NAME:___________________________________________ DAD'S NAME______________________________________

HOME PHONE:_______________________________________ CELL PHONE:_________________________________________

E-MAIL ADDRESS:_________________________________________________________________________________________

EMERGENCY CONTACT:____________________________________________________________________________________

WHICH PROGRAM?________________________________________________________________________________________

$.00 DEPOSIT REQUIRED TO REGISTER. Please check one: CASH_____________ or CHECK #_____________

(Balance due on the first day of the program, and is non-refundable.

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While no experience is needed for this program, there is one mandatory requirement - all actors must be present at every rehearsal. In a short program, every minute is needed, so if you cannot commit, please refrain from joining us at this time!

REGISTRATION DEADLINE: JUNE (We must ensure that our play has enough roles for our entire cast, so please help us accomplish this by registering early.)

Print & fill out above form (one form for each student) and mail, with your deposit (payable to "Little Lost Arts"), to: S. Verrilli, LITTLE LOST ARTS, 86 Kymer Rd, Branchville, NJ 07826