NEW JERSEY SCHOOL OF DRAMATIC ARTS
REGISTRATION FORM
Please print clearly    All registrations confirmed by phone

NAME ___________________________________    AGE (if under 18) ____    DATE__________
 
STREET ADDRESS ______________________________________________________ 
 
CITY_____________________     STATE _______     ZIP ___________ 
 
DAY TELEPHONE _______________     EVENING TELEPHONE _______________

CELL TELEPHONE________________________
 
E-MAIL ADDRESS ___________________________________________________
 
CLASS/COMBO TITLE _____________________________________     TUITION __________
 
CLASS/COMBO TITLE _____________________________________     TUITION __________
 
________________I have read the PAYMENT AND REFUND POLICIES and agree to them.
Signature of Student or Parent-Guardian

_____ I am registering 7 days or more in advance for 10% off the cost of the class.

_____ I am registering for TWO or MORE classes: 25% off additional classes of equal or lesser value.

 
METHOD OF PAYMENT:     Paid in full _____          $50.00 deposit _____
 
Personal check # _______     Money order # ________________   Amount  $__________   
 
 
**Credit Card: Visa # ___________________________________    
 
              Master Card # ___________________________________ 

**Charge the above Credit Card :  $ _____________ 
 
Name on credit card ___________________________________  Expiration __________
 
Signature of card owner ___________________________________________________

Mail To:   N.J. School of Dramatic Arts
593 Bloomfield Avenue
Bloomfield, NJ  07003