Marsh Youth Theater Application

Date _________________________________________________________
Student's Name _________________________________________________________
School _________________________________________________________
Grade & Birthdate _________________________________________________________
Contact Parent/Guardian _________________________________________________________
Address _________________________________________________________
City and ZIP _________________________________________________________
Telephone (h) _________________________________________________________
Telephone (w) _________________________________________________________
e-mail _________________________________________________________
 
Fall 2008 Classes
MYT Teen Troupe
$650
 $_______________
Toddler Family Flying Time
$145
 $_______________
Story Theater
$145
 $_______________
Working & Playing with Theater
$180
 $_______________
Bailando con trapecios (en Espanol)
$180
 $_______________
Moving with Trapeze (in English)
$180
 $_______________
Take the Stage!
$220
 $_______________
Poi Play
$180
 $_______________
Singing for Theater
$250
 $_______________
Hip Hop Dance
$180
 $_______________
Children's Natural Wonders
$300
 $_______________
     

___Please enroll me in MYT's sliding scale tuition program. Download and complete financial aid form here. Or, we will send you a financial aid form once we receive your application.

From $50
$_______________

Contributions to MYT Scholarship Fund

$_______________

TOTAL
$_______________
To enroll in MYT workshops, send application with a $75 deposit per class.
Financial Aid applicants, send $30 deposit with application.
ENCLOSED IS MY DEPOSIT

$_______________

Scholarships Available! ¡Hay Becas Disponibles!

___Please send me a financial aid form.
___Para informacion en Español indica aqui.

___Enclosed is my check: Make checks payable to The Marsh Youth Theater
___Charge my Visa/MC
3 digit security code____________
Card # ___________________________________ Exp Date____________
Three digit verification code from the back of credit card:_______

Deposits are non-refundable.
Tuition balance is due on the first day of class and is non-refundable thereafter.

Send your application to:
The Marsh Youth Theater
1062 Valencia Street (near 22nd),
San Francisco, CA 94110
call: 415-826-5750 x3
fax: 415-643-9070
website: www.themarsh.org
or email:
myt@themarsh.org