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 during the 6-week session you are enrolled in. You may make up any missed class during another level's class, on a different day of the week from the class you are enrolled in.  (please be advised the adult classes sometimes deal with adult subject matter.) We request that you do your make-up within 6 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, 12 Prospect St. Modena, NY 12548