To Register please print this registration form and mail with a $25 deposit to:

From Stage to Screen
54 Saddle Ridge Dr.
Hopewell Jct., NY 12533

1. Class or Workshop________________________________________________________________

2. Name___________________________________________________________________________

3. Age____________________________________________________________________________

4. Address_________________________________________________________________________

_________________________________________________________________________________

5. Phone Number___________________________________________________________________

6. Emergency Contact Name &  Number__________________________________________________

7. E-Mail__________________________________________________________________________

8. Where did you hear of us?__________________________________________________________

_________________________________________________________________________________

Thank you!
Sally and Camille
Register