SUMMERSTAGE 2008!

E N R O L L M E N T   F O R M
"Be a part of the magic!"

JUNE 30 to JULY 12, 2008

Enrollment is on a first come, first serve basis. Please print this page, fill in the form below and mail or fax it with a non-refundable deposit of $100 per participant. (Balance due June 30) Please make checks payable to: "Stageworks" and send payment and the completed form to: Stageworks, 41-A Cross Street, Hudson, NY 12534 or if paying by credit card, you can fax to 518-828-4026. We will confirm your reservation and follow up with your enrollment package.

Parent/Guardian____________________________________________________________________________________

Address___________________________________________________________________________________________

Phone/Fax/E-mail__________________________________________________________________________________

Applicant Name and Age_____________________________________________________________________________

Applicant Name and Age_____________________________________________________________________________

___My check is enclosed / Amount enclosed $_______
___Please charge my VISA/MASTERCARD/AMEX: Amount $_______Card #____________________________Exp.____

Signature_________________________________________________________________________________________