Register

Register for Classes

To register for a MADLOM class, please either click here to print and complete this form   Or fill out the online form below.
Early Bird Registration before Sept. 9, ’18, before Jan. 31, 2019

Registration Fee Waived + 10% Off Regular Prices; If you register early, Registration Fee is Waived, 10% deduction from Regular Prices (see bellow) applies (madlommail@gmail.com)

Please send the check and form to:
MADLOM c/o
41 Watchung Plaza #324
Montclair, NJ 07042

Or pay with PayPal
(A $4 fee is added for paying through PayPal)

Tel: (973) 626 6130
madlommail@gmail.com

 

* denotes a required field

Student Name*

Student's Age/Grade*

Home Address*

Home Phone*

Second Student Name

Second Student's Age/Grade

Primary Contact Name*

Cell Phone*

Email*

Other Parent or Guardian Name

Cell Phone

Email

Please let us know if your child has any health issues we should be aware of

Which classes are you registering for?*

Photo and video permission: By checking this box, I understand that photographs or videos may be taken of students (not including the name) during class and / or performances. I agree that the school for publicity purposes may use such images.*
YesNo

Parent's Digital Signature*

Date* (DD/MM/YYYY)

Notes or Comment

 

Regular Registration
Registration fee: $35 first child + $ 10 second child + $ 10 third child

1 class (15 – 16 sessions) $299 (+ $35)

Physical Theater & Acting (12-13 sessions) = $250 (+35)

2 classes = $530 (+35)
2 classes with drama as a second class = $480 (+ 35)

3 classes = $780 (+35)
3 classes with drama as a third class = $690 (+35)

Payment plans are available, as are a limited number of work scholarships (If you are able to obtain a scholarship, we need your help with events)
No refunds after third week!