Summer Program Registration Form


DIRECTIONS: Print and fill in all the appropriate information below.

NAME ________________________________DOB ______________ AGE____________

ADDRESS ______________________ APT. #_______ City _______________ State_____  ZIP_________

HOME PHONE _______________________ CELL ___________________ EMAIL________________________________

PARENT/GUARDIAN’S NAME _______________________________

PREVIOUS EXPERIENCE:(Acting, Singing, Dancing)
____________________________________________________________________________________________________________

WHERE DID YOU READ/HEAR ABOUT THE SUMMER PROGRAM?______________________


Registration Info.

Summer Program is $400 with a final performance on the last day.

$25 non refundable deposit to hold your spot
Deposit payable by check or money order-Make payable to Neustein Entertainment, LLC.
(There is a $35 returned check fee)
 
Send completed form with deposit to
Neustein Entertainment, 10 Evergreen St, Bayonne, NJ. 07002

 

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