Mayflower Arts Center
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Theatre Arts Workshop Registration
Seats are limited, so be sure to register early!
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Select One
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Enter Stage Right, Mon @ 6pm
You're A Real Character, Mon @ 7:15pm
Just Your Style, Mon @ 8:30pm
What A Set-Up, Thu @ 6:00pm
Can You Hear Me Now?. Thu @ 7:15pm
Payment Method (payment is required in full to secure spot)
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Check (please mail or drop off to Mayflower Arts Center, 9W Main Street, Troy, OH 45373)
Cash (please 937-215-5257 to schedule time to make payment -- DO NOT MAIL CASH)
Credit Card (please call 937-215-5257 to schedule time to make payment)
Participant's Name
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First
Last
Parent's Name (if participant is <18 yrs)
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First
Last
Child's Age (if <18 yrs)
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Allergies or Special Needs
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may leave blank if n/a
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Cell Phone Number
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Work Phone Number
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Email
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May we add your email to our mailing list?
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Yes, please!
No, thank you.
I already subscribe.
Emergency Contact Information
Emergency Contact Name
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First
Last
All-Hours Phone Number
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Secondary Contact Name
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First
Last
All-Hours Phone Number
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Person(s) allowed to pick-up your child, if not parent or guardian (we will only release your child to the person(s) listed here):
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How did you hear about us?
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The Mayflower Arts Center has permission to use my (or my child's) photographic image or likeness for promotional and/or online materials:
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I agree
No
The Mayflower Arts Center will assume responsibility for the supervision of your child for the ten (10) minutes preceding class, the scheduled class time, and ten (10) minutes after class. Please respect the busy schedule of the studio by being prompt in dropping off and picking up your children.
I have read, understood, and agreed to these conditions.
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I agree
Submit