Print out form and return with payment to:

Little Actors' Theatre

PO Box 3601

Valdosta, GA 31604 

Our summer week long camp will be held June 14-19th, 2010; at Valdosta High School’s Performing Arts Center, 3101 N. Forrest St. Valdosta, GA.The production this year is “The Princess and the Pea”.  It promises to be another great experience. Complete this form and send it with your payment to Little Actor’s Theatre:  P.O. Box 3601  Valdosta, GA  31604.
Registration:
Name:  ______________________________________________________________________ Age:     ______     Birthday_________        Grade ________  (must be entering 1st grade)Address:_________________________________________________________________________              __________________________________________________________________________
Phone numbers           (H)___________________     (c)_______________________
E-Mail:_____________________________________________________________________
Parents Names:_______________________________________________________________
Payment of $90.00 if post-marked before May 15, 2010 and $100.00 for registrations mailed after that date. 
Cash_______Check_______ Money order______
Special Needs:___________________________________________________________________


 
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