Name ___________________________________________________________________________________________

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Street Address ___________________________________________________________________________________

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City/town ________________________________________________  State __________  Zip ___________________

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Phone _________________________________________  E-mail __________________________________________

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Payment Policy:

This registration form must be accompanied by a 50% deposit. The remaining balance (for the full month or specified session-period) is due in full at the first class.

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If you miss a class:

It is your responsibility to make up any missed classes according to the following schedule:

Ms. Jones' students may make up in her or Mr. Meyer's classes; Mr. Meyer's students may make up in his or Ms. Jones' classes; Ms. Muhammad's Youth Actors may make up in Ms. Jones' Basic Technique class (please be advised the adult classes sometimes deal with adult subject matter.) We request that you do your make-up within 8 weeks of the missed class.  You must be currently enrolled in the Acting Program to redeem a make-up class.

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Refund/Cancellation Policy for our classes and workshops:

If you cancel your enrollment in advance of 15 days from the start date, you will receive a full refund.  Beyond this point we will retain a 10% administrative fee in addition to the charges for any classes attended, up to the 4th class.  Beyond the 4th class, the entire course fee is non-refundable.  For our six-week workshops the above policy applies up until the 2nd class.

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Refund/Cancellation Policy for on-going classes:

Payment is made month-to-month, and is non-refundable if you cancel your enrollment within the month.

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Course Title __________________________________________________ Amount enclosed $__________________

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Student signature ________________________________________________________________________________

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Parent signature (required if under 18) _____________________________________________________________

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Please make checks payable to Howard Meyer's Acting Program and mail with this form to:

Howard Meyer's Acting Program, Post Office Box 1004, Yorktown Heights, NY 10598.