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2009 Young Performers Theatre Workshop

Thurs. Jan 8 through Mid-March 3:45-5:00 K-5th grades $95 Director: Becky Hope

Payment is due at the first class. Scholarships are available.

To register: sign up below.

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Pleasant Hill Community Theatre 09 Theatre Workshop

Student's Name (s):

Grade:

Parent/Guardian Name:

Emergency Contact Phone #:

Contact Email Address:

Parent/Guardian Release:

I do hereby grant my permission to Pleasant Hill Community Theatre to provide medical attention to my child in case of an emergency. I also agree to hold harmless the Pleasant Hill Community Theatre and its staff for any injury incurred as a result of my child's participation.

Parent/Guardian Filling out this form:

 
Pleasant Hill Community Theatre  Phone: 541-988-1195  
35575-1/2 Zephyr Way, PO Box 802, Pleasant Hill, 97455
A 501(c)(3) Non-profit Corporation
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