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NAME__________________________________________________
AGE _________________
PARENT/GUARDIAN
#1___________________________________________________________ HOME
PHONE________________________ DAYTIME __________________________________
STREET ADDRESS________________________________CITY
______________ZIP___________
PARENT/GUARDIAN
#2___________________________________________________________ HOME
PHONE________________________ DAYTIME __________________________________
STREET ADDRESS________________________________CITY
______________ZIP___________
SCHOOL___________________________________(0708 School Year) CURRENT Grade
______
E-MAIL PARENT/GUARDIAN #1
____________________________________________________
E-MAIL PARENT/GUARDIAN #2
____________________________________________________
Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Credit Card Type: __Visa __ Mastercard Name on the Credit Card
_______________________
Tuition $_________ 5% upcharge $__________ TOTAL to be charged
$_____________
Please note: A 5% fee needs to be added to all credit card payments.
Signature________________________________________________________________________
Expiration Date: _____/______
VCode (from back of card) __ __ __ Please check all that apply: August 4 – 8,
August 11 – 15, Little House on the Serengeti for K-5
August 18 – 22, Zoom a Zoom Zoo for K-5
PAYMENT SCHEDULE • For THEATRE PROJECTS, full tuition is due May 15, 2008. Deposits and tuition payments are not refundable after May 15, 2008. Casting is not announced until payment is made in full. To hold a place in a theatre production, you can make a deposit of $200. The deposit is applied to your final tuition payment. • Please return this form with a check or money order made payable to MadCAP. Please NOTE: THIS YEAR THERE WILL BE A 5% UPCHARGE FOR USING A CREDIT CARD • For cancellations before May 15, 10% of the payment or deposit is retained as a processing fee. • Extended day enrollment forms are sent with confirmation. Fees for extended day are $3 per hour for early drop-off or late pick-up with a minimum one hour payment for each scheduled time. Extended day arrangements must be made in advance. NEW THIS YEAR! Special discounts apply to students who are enrolled early. PLEASE SEE THE COUPON PAGE. The tuition payment and the registration form must reach our office by the deadline date. NO EXCEPTIONS. Return this form with payment to MadCAP, 100 N. Hamilton St, Madison, WI 53703 or fax this form with credit card information to 608.251-1879. |
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