New e-mail musicaltheatrx@comcast.

net
Website musicaltheatrix.com
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“We Can’t Stop The Beat”~$325.00

“Acting for Television”~ $150.00
“Broadway K.I.D.S.”~ $250.00

Payment Schedule for Musical Theatrix

Deposit: ~January: $125.00 ~February: $100.00 ~March: $100.00
*Deduct $25.00 for second sibling
*Note-Refunds will not be given for missed lessons or withdrawals
All classes begin the week of January 12, 2011 and are held at the Slayton House.
To guarantee a place in Musical Theatrix, fill in the form below. A deposit of $125.00 is needed to hold a spot.
Mail deposits to: Musical Theatrix: 10350 College Square, Columbia MD. 21044

Registration Form

____ “We Can’t Stop the Beat” ~ $325.00

____ “Acting for Television” ~ $120.00
____ “Broadway K.I.D.S.” ~ $250.00

Total Deposit: ___________

Students Name: _______________________________________ Grade: ______

Parents Name: ____________________________________________________

Address: ____________________________________________________
Street City Zip Code

Phone Number: Home: ___________________ Cell: ________________________

E-mail: _____________________________________________________________
I hereby understand and agree that all classes are taken at my child’s sole risk. Judy Templeton, her staff,
Slayton House and the Howard County Board of Education are not responsible for any loss or damage resulting from any
property damage or personal injury arising out of or connected with the use of the facilities or participation in the classes.
Permission is granted to Musical Theatrix to use video or photographs in advertising and publicity.

____________________________ ____________________________ ______

Student/s Name Parent’s Signature Date