Curtain Call Inc.

Thursday, 11 March 2010

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Workshop Registration Form!

(This form is best used in Internet Explorer or Safari, Opera, or Netscape; however, should you choose to use Firefox the form will not automatically complete the Total Donation field box.)

Student's Name:

*

Date of Birth:

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Parent's Name:

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Email Address:

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Mailing Address:

City:

State:

Zip Code:

Home Phone Number:

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Work Phone Number:

Cell Phone Number:

First Class:

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Second Class:

Third Class:

Total Money Owed:

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How did you here about us?

Please Choose Method of Payment:

Click to enter credit card or Call - (203) 329-8207 ext 16)
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