150 Main Street
P.O. Box 581
Boylston, MA 01505-1928
Phone: 508 869-6887
Calliope 2014 Youth Workshop Registration Form
Fill in the Workshop registration form below, print it on your printer, sign it and send it with a
$50.00
non-refundable
deposit to:
Calliope Productions, Inc.
P.O. Box 581
Boylston, MA 01505
Student Name:
Date of Birth:
Age:
-- Select Gender --
Female
Male
Street:
Town & State:
ZIP:
Phone:
Cell Phone:
Parent's Name:
Parent Signature:
-- Select Workshop --
(
The cost includes all material, tuition and registration fees
.)
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