Carmel Theatre Company presents Side by Side by Sondheim - May 4 to 13
    Carmel Theatre Company presentsSide by Side by Sondheim - May 4 to 13
CARMEL THEATRE COMPANY

Rising Stars Academy Summer 2015 Class Registration

STUDENT’S NAME: _______________________________________________________________________

AGE: _________GRADE: __________ SCHOOL:_______________________________________________

ADDRESS: _______________________________________________________________________________

PHONE NUMBER:______________________________ CELL: ____________________________________

EMAIL ADDRESS: ________________________________________________________________________

EMERGENCY CONTACT NAME & PHONE:__________________________________________________

HEALTH CONCERNS: ____________________________________________________________________

THEATER/STAGE EXPERIENCE: __________________________________________________________

__________________________________________________________________________________________

HOW DID YOU HEAR ABOUT CTC?:________________________________________________________

I WOULD LIKE TO REGISTER FOR:

________ ACTION – Teens
________ ACTION – Adults

________ DANCE BOOT CAMP I
________ DANCE BOOT CAMP II

________ TRIPLE THREAT TEENS I
________ TRIPLE THREAT TEENS II

________ INTRO TO THE STAGE ________ MUSICAL THEATRE KIDS

I understand that I / my child may be photographed during the above listed class and give permission to CTC to use these photos in promotional materials. I acknowledge that refunds will only be offered if the minimum enrollment is not met. I release CTC, its directors, officers, employees, and volunteers from all liability to me / my child for any loss or damage to property or injury or death to person while I am / my child is attending CTC activities. I agree to pick up my child promptly after each class.

Signature ________________________________________________________ Date__________________

Please mail enrollment forms with check payable to Carmel Theatre Company to: CTC, 484 E. Carmel Dr. Box 162, Carmel, IN 46032 or email completed forms to

jen@dossbs.com. We will email you with confirmation of receipt and further information about the class. CTC will not offer refunds unless a class is canceled due to low enrollment. Contact Jen Doss at 317-727-3910 or jen@dossbs.com with any questions.

Contact Us Today!

info@carmeltheatrecompany.com

317-688-8876

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Community Theatre, Carmel Indiana