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Registration

Please fill out as much information as is possible and select a payment option/method. If you have any questions, you can contact us at miriam@theartsplace.org

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Cell Phone:
Email:
Registrant Date of Birth:
Emergency Contact Name:
Emergency Contact Phone:

Workshop Selection:
The fee for each workshop is $25.


Hip-Hop-Anonymous (March 10th)
Children On the Stage (April 14th)
Finding the Actor In You (May 12th)

Comments:
Payment Amount:

$0.00

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