SUMMER 2011
REGISTRATION FORM


        

___  Leapin' LiteratureTM

        Morning Session ___   Afternoon Session ___

___  Kings, Queens, Pirates and PlayTM

        Morning Session ___   Afternoon Session ___

___  Fairy Tale Theatre Camp!TM

        Morning Session ___   Afternoon Session ___

___  Thematic Theatre Camps

        Session I (Comedy/Melodrama) ___
        Session II (Medieval/Renaissance) ___   

___  Midsummer Madness!TM

___  Writer's WorkshopTM

        

Student's Name  ________________________________________________

Age _____________________________ (On the first day of school)

School _______________________  Homeschool ______________________ 

Address ________________________________________________

City ________________________________________  State _____  ZIP _______

Parent's Name _________________________________________

Email _________________________________________

Daytime Phone _______________________

Evening Phone _______________________

Deposits: A separate deposit is required per student for each class. A non-refundable deposit of $100 will secure a place in all Leapin' Literature,TM Kings, Queens, Pirates and Play,TM Fairy Tale Theatre Camp!TM or Puppeteer's Paradise.TM A non-refundable deposit of $150 will secure a place in all Summer Theatre Camps, Midsummer Madness!,TM and Writer's Workshop.TM Registration and placement in our programs are finalized upon receipt of deposit and registration form only. Applicants will receive confirmation of their placement on a first-come first-serve basis.

Family Discounts: Enroll one child in two or more programs or two or more children in the same program and receive a 5% discount on the total tuition due.

Please print this form and mail with payment to:

The Old Michie Theatre
221 East Water Street
Charlottesville, VA 22902

Copyright © 1999-2011 The Old Michie Theatre. All Rights Reserved.