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ADS FORM - ALL GRADES FALL 2016 PATRON / STUDENT

IN!

ALL FIELDS MUST BE FILLED

Adult Name: __________________________________________________ AV Cust #:____________________ Adult relationship to teen:______________________________________ AV Order #:____________________ Student’s Name :__________________________________________________ Grade: _______________ Adult Address:_______________________________________________________________ ____________ City: ____________________________________________ State: ______ Zip: __________________ Phone: ____________________________ Email: _____________________________________________ Signing up with friends?:_______________________________ How did they hear?: _____________________ Any special needs or allergies? ________________________________________________________ Their Primary Goal for Enrolling? (circle one): FUN

CHILD CARE

CONFIDENCE

PERF. OPPORTUNITIES OTHER

TRAINING IN THEATRE SKILLS

Referred by another Parent? Yes/No: ________ Referral’s Name: ___________________________________

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Sub Total __________________ minus Discounts: $_____________ = Final Total: $ Card #: _________ Security Code__________ Processed by:

Exp. Date:

Please send email confirmation to purchaser & CC Education Director on all email confirmations


Mark the classes for which this student is registering (below or on reverse) PRE-K (Ages 2-4) $120

Bookworms (8 Weeks starting September 24) – 10:00am – 10:45am All 8 Weeks - $100.00 Caps for Sale by Esphyr Slobodkina (9/24/16) - $15.00 A Sick Day for Amos McGee by Phillip C. Stead (10/1/16) - $15.00 Where Bear? by Sophy Henn (10/8/16) - $15.00 Swimmy by Leo Lionni (10/15/16) - $15.00 Goldilocks and the Three Dinosaurs by Mo Willems (10/22/16) - $15.00 Creepy Carrots by Aaron Reynolds (10/29/16) - $15.00 Shh! We Have a Plan by Chris Haughton (11/5/16) - $15.00 Pete the Cat: I Love my White Shoes by Eric Litwin (11/12/16) - $15.00

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□ GRADES K - 2 □ □ $160 Musical Theatre (8 Week class, Grade K-2) Saturdays from 10:00AM-11:30PM Fall Session (9/24/16 – 11/12/16) □ □ $160 Acting (8 Week class, Grade K-2) Saturdays from 12:00-1:30 PM Fall Session (9/24/16 – 11/12/16) □ □ $20 One Day Workshops (Grade K-2) Musical Theatre Jam: Disney Songs – Saturday September 24 th 12pm- 2pm Fairy Tale Mix Up – Saturday October 8th 10am-12pm Stage Make-Up – Halloween Edition! – Saturday October 29th 10am-12pm $30 (includes material fee) □ □ GRADES 3 - 5 □ □ $160 Acting (8 Week class Grade 3-5) Saturdays from 10:00AM12:00PM Fall Session (9/24/16- 11/12/16) □ □ $120 Musical Theatre (8 Week class Grade 3-5) Saturdays from 12:00PM-2:00PM Fall Session (9/24/16- 11/12/16) □ □ $30 One-Day Workshops (Grades 3-5) Musical Theatre Jam: Disney Songs – Saturday, September 24th 12pm-3pm Physical Comedy – Saturday, October 8th 12pm-3pm Star Wars and Superhero Stage Combat – Saturday, October 29th 10am-1pm □ □

$50

GRADES K – 5

□ Play In A Day (One day, for Grades K-5) 10:00AM-3:00PM


□ Monday, October 10th (Columbus Day) □ Tuesday, November 8th (Election Day) □ Friday, November 11th (Veteran’s Day)

□ Tuesday, December 27th (Winter Break) □ Wednesday, December 28th (Winter Break) □ Thursday, December 29th (Winter Break) □

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□ □ $120 Musical Theatre: Fundamentals (6 Week class, Grade 6-8) Saturdays from 12:30 PM-2:30PM Fall Session (10/8/16 – 11/12/16) □ □ $120 Acting: Fundamentals (6 Week class, Grade 6-8) Saturdays from 3:00 PM-5:00 PM Fall Session (10/8/16 – 11/12/16) □ □ $30 One-Day Workshops (Grades 6-8) Musical Theatre Dance – Saturday October 15th 12pm-2pm Hamilton Workshop – Saturday October 29th 3pm-5pm □

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GRADES 6 - 8

GRADES 9 - 12

□ □ $120 Acting: Process and Performance (6 Week class, Grade 9-12) Saturdays from 12:30 PM-2:30 PM Fall Session (10/8/16 – 11/12/16) □ $120 Musical Theatre: Technique (6 Week class, Grade 9-12) Saturdays from 3:00 PM-5:00PM Fall Session (10/8/16 – 11/12/16) □ □ $40 One-Day Workshops (Grades 9-12)


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Sketch Comedy – Saturday, October 8th 2pm-5pm Hamilton Workshop – Saturday October 29th 2pm-5pm □


2016-17 Fall ADS Order Form