Studio Class-fall: Playwrights and Performers class Child 1* First Last Age, Child 1*Child 2 First Last Age, Child 2Parent Name* First Last Phone Number*Email* Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do your children have any allergies or medical conditions we should be aware of?*In case of emergency, Please give us a detailed plan, including names, numbers, hospital and doctor names*Playwrights and Performers Class - 10 weeks*1 Child: Full Session2 Children: Full SessionFree Trial drop in 9/14/17 onlyLABOR DAY DISCOUNT 25% OFFAges 7+ Thursdays, 9/14/17-11/16/17, 4:30-6pmCoupon Total amount for the classes $0.00 This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.