DATES: 2 DAY INTENSIVE WORKSHOP: $180
SUNDAYS: JULY 20th & 27th
CLASS TIMES: (Please circle which you will attend)
2:45pm – 4:00pm: Kids (7 to 12)
4:15pm – 6:15pm: Adult Class (13 & up)
PAYMENT: DEPOSIT DEADLINE: JULY 1st, 2008
$100.00 deposit due with registration form to reserve space in class (non-refundable)
Balance of $80.00 on the 1st day of class
Checks or Money order are made payable to:
Lisa Regina, LR Acting Workshops, LLC
Mail to: 154 East 97th Street #16, New York, NY 10029
(Any fees associated with returned checks will be the sole responsibility of the student.)
Date:_________________
Lisa Regina:_____________________________________ (212) 966-2982
Student (please sign): _______________________________________
Age: ______ Email: __________________ (must include email address)
Mailing Address: _______________________________________________________________
Phone: ________________ Cell Phone: ________________
Parent or Guardian __________________________________ (if under 18 years of age)
PLEASE SIGN AND RETURN AGREEMENT WITH PAYMENT BY MAIL.
THANK YOU! I LOOK FORWARD TO WORKING WITH YOU SOON!
The following agreement is between LR Acting Workshops, LLC (Lisa Regina,) acting coach and the student. The cost of this 2-day Intensive Workshop is $180 to be paid in full by the FIRST DAY of CLASS (no exceptions). The full amount will be refunded in the event that the workshops are cancelled.
PLEASE COMPLETE ALL INFORMATION ON THIS FORM. THANK YOU!
HUNTINGTON CLASS, (SUMMER 08)
Variations –A Dancer’s Studio
180 Spring Rd
Huntington Village, NY 11743
Group Class Registration Form