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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 July 13-18, 2009; at Valdosta High School’s Performing Arts Center, 3101 N. Forrest St. Valdosta, GA.The production this year is “Rumplestiltskin”. 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 for members and $100.00 for non-members
Cash_______Check_______ Money order______Special Needs:___________________________________________________________________
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