Application

Spring 2008 I CAN DO THAT! Application

Name _______________________________________________________________________________

Street Address ________________________________________________________________________

City __________________________________________Zip ___________________________________

Phone ________________________________ Cell __________________________________________

Email:

Please list any previous acting or behind-the-scenes experience:

_______________________________________________________________________

____________________

I am interested in the class because….

________________________________________________________________________

____________________________

Payment may be made by check payable to Little Lake Theatre or cash only.

_____ I have submitted payment of $25.00 which will be credited towards my enrollment fee. I understand that my deposit is non-refundable unless space is filled when Little Lake receives this application. I also understand that the remaining payment of $160.00 will be due before or at the first class. (Special arrangements for a payment plan may be made by contacting Sunny at 412-561-4402)

______ Please receive my check or charge card number for payment in full of $185.00

Mail application to:

Little Lake Theatre Company

c/o Sunny Disney Fitchett

449 Mapleton Ave Pittsburgh, PA 15228