Please fill out the form below to complete your registration

Name:
Email Address:
Phone Number
Address, city, state, zip
Which workshop are you registering for?	Lights, Camera, Action (Oct 15, 22, 29) From Page to Stage (Nov 12, 19, Dec 3) Coffee House Theater (Winter 2009)
Names and ages of registrants
Theater for Young Audiences has permission to take photos of my child during the workshop. It is understood the photos are the sole property of TYA to be used for educational and promotional purposes in the TYA website and publications.	Yes No

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