Quest Theatre

2007/08 Quest Theatre School Registration Form

* First name:
* Last name:
* E-Mail:
* Address 1:
* City:
* Province/State:
* Postal/Zip code:
* Phone number:		(xxx) xxx-xxxx
Cell Number:		(xxx) xxx-xxxx

	How did you hear about us?

	Parent/Guardian Name (First and Last) if participant is under 18 years of age

	Participant's Name (First and Last)

Participant Date of Birth

Gender of Participant

Male

Female

	Any medical or behavioural conditions the instructor should know about?

	Which class would you like to register for?

	Total Fee for Course

	A total of 5% GST is applicable for students aged 15 years or older

	I would like to make a tax deductible donation to Quest Theatre in the amount of:

	Select a payment method (Please note: if paying by credit card - DO NOT include your card number here. A member of our staff will contact you by phone to confirm the total amount due and to process your payment.)

CANCELLATION POLICY: Cancellation is permitted (less a $50.00 administration fee) provided notice is given no less than 7 days prior to the first day of class. No refund will be given with less than seven days notice unless a doctors note is provided.

I have read and understand Quest Theatre's cancellation policy as listed above and agree to the terms.

I Agree

Today's date is:

Please note: Registration in a class is guaranteed ONLY when payment is received in full. Minimum Enrollment: We reserve the right to cancel classes due to insufficient enrollment. In the event of a cancellation, full refunds will be provided. Quest Theatre Society Charitable # 119072163 RR 0001