150 Main Street
P.O. Box 581
Boylston, MA 01505-1928
Phone: 508 869-6887

Calliope 2010 Youth Workshop Waiting List Application Form

Fill in the Workshop Waiting List Application form below, print it on your printer, sign it, and send it with a $50 deposit to:
Calliope Productions, Inc.
P.O. Box 581
Boylston, MA 01505

The deposit is non-refundable for those who are accepted into the program. For those who do not get accepted off the waiting list, the deposit will be refunded on or before the first day of the workshop.

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Student Name:
Date of Birth:	Age:
Street:
Town & State:	ZIP:
Phone:
Parent's Name:
Parent Signature:
	(The cost includes all material, tuition and registration fees.)