Quest Theatre

2010/11 Quest Theatre School Registration Form

Please provide the following information for our survey

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

How did you hear about us?

Brochure sent to my home

Company I work for

Calgary Herald

Calgary's Child

Friend

Google Search

Internet site

Neighborhood Sign

Overpass Banner

Theatre Calgary Lobby

Poster at my School

Past Participant

Calgary Public Library

Google Sponsored AD on the Right had side of internet page

Poster in a Store

Alberta Theatre Projects lobby

Other (If other please list where below)

	Other (please describe where you heard about us if not listed above)

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

	Participant's Name (First and Last)

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 as of the first day of their class.

	GST

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

	Select a payment method

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 provide the best number(s) to reach you at to confirm this registration.

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