Theatre Arts Workshop Registration

Seats are limited, so be sure to register early!

* Indicates required field

Select One *

Payment Method (payment is required in full to secure spot) *

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 *

First

Last

Parent's Name (if participant is <18 yrs) *

First

Last

Child's Age (if <18 yrs) *

Allergies or Special Needs *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

May we add your email to our mailing list? *

Yes, please! No, thank you. I already subscribe.

Emergency Contact Information

Emergency Contact Name *

First

Last

All-Hours Phone Number *

Secondary Contact Name *

First

Last

All-Hours Phone Number *

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): *

How did you hear about us? *

The Mayflower Arts Center has permission to use my (or my child's) photographic image or likeness for promotional and/or online materials: *

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. *

I agree

Submit