Bridgeport Summer Stage: Back To School 2018 Registration

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Bridgeport Summer Stage: Back To School 2018 Registration - The Music Man Jr.

Email *

REGISTRATION FORM

Please submit form when completed, then pay secure online deposit below. (to pay via check, please scroll down to bottom of page for payment info)

Parent First Name *

enter one or two names

Parent Last Name *

enter one or two names

First Name of Student(s) *

Last Name of Student(s) *

Age(s) *

Entering what grade(s) in fall 2018? *

Email address *

Contact phone # *

Street Address *

City *

Zip *

Quesitons/Comments

Payment Options and Information.

$100 non refundable deposit is due before the registration will be processed.

You have the option to pay in full below. After September 1, 2018 the deposit is non-refundable (with the exception of if the program is unforeseeably canceled).

There are a limited number of slots filled on a first come first serve basis. If your registration exceeds the maximum number of slots your deposit will be refunded.

Invoices will be send via email to the address provided on the enrollment form, all major credit cards accepted, and please email us if you prefer to pay via check (bportsummerstage@gmail.com).

Choose your payment option. Invoices will emailed. *

You will receive an invoice at the email address provided in the registration form; if applicable, sibling discounts will appear in invoice

$395 for "The Music Man Jr" Sep 18-Nov 4 (Includes deposit)

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