Please print this form, fill in all the appropriate information and mail it to:

Matrix Theatre Company

2730 Bagley

Detroit, MI 48208

GO PAPERLESS VIA OUTLOOK EMAIL! Just Click Here.

SELECT THE Class :

• NOW PLAYing - Ages 5-7 - 10 weeks $75
• WATER STORIES PUPPETS - Ages 5-7 - 10 weeks $75
• LIVING ON STAGE - Ages 8-11 - 10 weeks FREE!
• RECYCLED PUPPETS - Ages 8-11 - 10 weeks $75
• PLAYWRITING IS... - Ages 11-14 - 10 weeks $100
• SPIRIT OF THE WATER MASKS - Ages 11-14 - 10 weeks $75

PARTICIPANT REGISTRATION:

Name of Participating Youth:

Age:

Home Address:

City/State/Zip:

Phone Number:

BILLING INFORMATION:

Name of Parent / Guardian / Sponsor:

Billing Address:

City/State/Zip:

Email address:

Phone Number:

• I will pay on the first day of class. Please email me a reminder the week before classes start.
• I will be calling to pay by Credit Card. Please email me a reminder the week before classes start if I have not yet made my deposit.
• I have enclosed a check/money order made out to Matrix Theatre Company in the amount of:
• $50 as my non-refundable deposit. Please bill me for the remainder of the tuition.
• $ in payment of the full tuition costs.

A $50 non-refundable deposit is due on or before the first class attended. Space is limited and is not guaranteed until receipt of deposit. The remainder of tuition is due by the end of the class session. To pay securely by Visa, MasterCard, or American Express please call 313.967.0999.

FOR SCHOLARSHIP APPLICATIONS OR ECONOMIC HARDSHIP ELIGIBILITY PLEASE CONTACT ANDREA SCOBIE.