Registration Form - Seven Star School of Performing Arts
Registration Form - Seven Star School of Performing Arts
Registration Form - Seven Star School of Performing Arts
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<strong>Seven</strong> <strong>Star</strong> <strong>School</strong> <strong>of</strong> <strong>Performing</strong> <strong>Arts</strong>850 Route 22Brewster, NY 10509(845) 278 - 0728www.sevenstarschool.com<strong>Registration</strong> <strong>Form</strong><strong>Registration</strong> DateAccount NumberBilling NameAddressCity State Zip / Postal CodeHome Phone Private? Yes NoE-Mail AddressParentEmployerHome PhoneWork PhoneCell PhoneParentEmployerHome PhoneWork PhoneCell PhoneEmergency ContactEmergency ContactEmergency ContactEmergency ContactPhone NumberPhone NumberPhone NumberPhone NumberStudent NameAddressCity State Zip / Postal CodeDate <strong>of</strong> Birth <strong>School</strong> GradeE-Mail AddressMedical InformationWe are not responsible for belongings left in the studio. We cannot be held liable for any injury to students during any <strong>of</strong> ourclasses or on the school premises.Page 1 <strong>of</strong> 2
<strong>Seven</strong> <strong>Star</strong> <strong>School</strong> <strong>of</strong> <strong>Performing</strong> <strong>Arts</strong>850 Route 22Brewster, NY 10509(845) 278 - 0728www.sevenstarschool.com<strong>Registration</strong> <strong>Form</strong>Billing NameStudent NameClassesName Level Room Day Time Tuition<strong>Registration</strong> Fee:Total Tuition:Notes:Parent Signature:Date:Page 2 <strong>of</strong> 2
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