IMPROV WORKSHOP REGISTRATION
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Name Age
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Address Date of Birth
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Home Phone
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City Cell Phone
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State Zip Code E-mail
____ Sept. 12 Improv Workshop 9th Grade to Adult $35.00
____ Sept. 13 Improv Workshop Age 9 to 8th grade $25.00
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Signature (Participant Signature for Adults/Parent Signature for Minor)
Please include payment with your registration form. All checks should be made payable to
Firelight Children's Theatre.
Please mail completed registration form and payment to:
Firelight Performing Arts Academy
P.O. Box 174
Milton, LA 70558
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