Children's Workshop Registration Form
Register using credit card:

Register by Mail:

1. Type the information onto this form on your computer screen,
2. Print this page,
3. Make your check out to to Burlington County Footlighters, Inc.
3. Mail this page with your check to:

Children's Theatre Workshop Registrar
Burlington County Footlighters
620 S Bethlehem Pike
Ambler, PA 19002

What Session:
Question We're curious......please tell us.. what led you to our website?
Parent/
Guardian Name
Street
City
State   Zip
Daytime A/C-Phone -
Evening A/C-Phone -
Your e-mail address:
Name of Child 1 Age
Name of Child 2 Age
Name of Child 3 Age
Amount Enclosed check or money order enclosed

I hereby grant permission to Burlington County Footlighters, Inc. to use photographs of my child for promotional purposes for the workshop, in newspaper articles and on the BC Footlighter’s Web page.

 

Parent/Guardian Name ______________________________________________________Date_______________