Class Registration Form

Student’s Name:

__________________________________ Age: ________

 

Classes:

1. ________________________________ Fee: ________

 

2. ________________________________ Fee: ________

 

 

Student’s Name:

__________________________________ Age: _______

 

Classes:

1. ________________________________ Fee: ________

 

2. ________________________________ Fee: ________

 

 

Address _______________________________________  

 

City/State/Zip __________________________________

 

Phone (Home) ______________ (Work) _____________

 

Parents, please read and sign below.  I give the Masque Youth Theatre and School, Inc. permission to use my child's photograph in all forms, including in whole or in part, in all manners, and in all media for advertising, promotion, exhibition, editorial, or any other lawful purposes.

 

Parent Name ___________________________________   

 

Parent Signature_________________________________

 

 Check here if you do not grant permission to photograph your child.

 

Payment   Check  (payable to: The masque)         Visa         Mastercard     

 

Number: __________________________   Exp. Date: ________  

 

Signature_________________________________

 

Fill out the registration form and mail with fee to:

Masque Youth Theatre & School, Inc.

14 – 4th St SW, Rochester MN 55902

 

 

Registration:  Mail in registration form and check OR you can register at the Masque on Tuesdays or Thursdays between 10:00 a.m. and 2:00 p.m.  To ensure place in class, registration and payment must be in ONE WEEK prior to the first class.  Payment not received by the second class will be assessed a $5.00 late fee.  The Masque accepts Visa and Mastercard.

 

Serious Student Discount: Sign up and pay for two or more classes per student at the same time and receive a 5% discount.  Family discount: Enroll two or more siblings at the same time for the same Session and receive 5% discount. 

One discount per student and/or family per class.

 

Note:    No refunds will be paid after the first class of each session has begun.  Students withdrawing from a session prior to the first class will be charged a $5.00 administrative fee.

For more information call (507) 287-0704

 

 

Visit our website at: www.masque.org

Or email us at: Go2masque@aol.com