Please fill out this form to register a student for our 1-week Summer Theater Workshops.


PAYMENT OF AT LEAST A DEPOSIT OF $50 PER WEEK IS REQUIRED AT THE TIME OF REGISTRATION.
When you submit the form you will be given the opportunity to pay online via Google Checkout (you do not need a Google account to use this service). You may also call the office to make payment arrangements.



IF YOU ARE REGISTERING SIBLINGS, fill out a registration form for each student and then CALL THE OFFICE TO PAY SO WE CAN BE SURE YOU GET THE SIBLING DISCOUNT.



* indicates a required field
PAC MetroWest Summer 2010 One-Week Registration Form

Student's First Name**
Student's Last Name**
Student's Date of Birth**
Grade entering in Fall '10*
(program is for
grades 3-9)*
Parent/Guardian First Name**
Parent/Guardian Last Name**
Billing Address**
City**
State**
Zip**
Home Phone**
Cell Phone
Work Phone
Email**
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone Type
Home 
Cell 
Work 
Emergency Contact Relationship
Week(s) Registering For**
Wk A Grease (6/21-6/25) 
(SOLD OUT) Wk 1 Glee (6/28-7/2) 
Wk 2 Pocahontas (7/5-7/9) 
Wk 3 Shrek (7/12-7/16) 
Wk 4 Snow White (7/19-7/23) 
Wk 5 More Glee (7/26-7/30) 
How did you hear about the program?**
Special/Medical Needs* (if none, please enter
"none")*