I Can Do That Enrollment Form

2016 “I CAN DO THAT” ACTING CLASS
Enrollment Form

Name:______________________________________________________________________

Address:____________________________________________________________________

City:_________________________________    Zip:_________________________________

Phone:_____________________________    Cell:__________________________________

Email:_____________________________________________________________________

List any previous experience:
___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I am interested in the class because…

__________________________________________________________________________

__________________________________________________________________________

_____ I am submitting a check to Little Lake Theatre Company in the amount of $25.00 to reserve a space in class. This deposit is non-refundable, and will be credited towards my enrollment fee. I understand that the remaining payment of $155.00 will be due before or at the first class.

_______ I am submitting a check for payment in full for the amount of $180.00. Payment is non-refundable.

______ I would like to pay with MC, Visa or Discover credit card. (Please note that if you would like to pay by credit card, the full amount must be paid at the time of application, and a $5.25 handling fee will be added.)

CC # ____________________________________ Exp Date ____________________

All checks payable to: Little Lake Theatre Company

Mail application to: I Can Do That Acting Class c/o Little Lake

Theatre 500 Lakeside Drive South Canonsburg, PA 15317

Questions about the class? Please contact info@littlelake.org