EmailMe Form - JUNGLE BOOK Central Christian Church -Summer 2015

Class: *

SELECTIONS from THE JUNGLE BOOK, 9:00 - 12:00pm, June 8-12, M-F, Ages 7 - 12.

Student's Name: *

First Last

Age at start of program: *

Parent/Guardian Name: *

First Last

Mailing Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone: *

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Mobile Phone:

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Work Phone:

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Fax Number:

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Email: *

Alternate Email:

Class Details:

Class: Musical Theatre Class SELECTIONS FROM THE JUNGLE BOOK
Class Dates: M-F, June 8-12, 9:00am - 12:00 noon Ages 7 - 12
Class Location: Central Christian Church, 4711 Westside Dr. Dallas, 75209
Performance: Sunday, June 14, 11:00am and 1:00pm
Performance location: Central Christian Church

WITHDRAWALS & REFUNDS:
50% refund (less $15 handling fee if applicable) if withdrawal made in writing at least 3
business days prior to the first day of session in question. (Monday to Friday are business
days at the DSM Academy.) Mail to: DSM Academy, P. O. Box 567671, Dallas, TX 75356.
NO REFUNDS given if written withdrawal is not received at least 3 business days prior to
the first day of session as camp space is held for each student. If a camp does not meet
minimum enrollment, a full refund is given.

CLASS CANCELLATION: If a camp is cancelled for bad weather or any other reason, a make-up session will be offered at no extra charge.

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