Register

Register for Classes

 

To register for a MADLOM class, please either click here to print and complete this form (send to address bellow)
Or fill out the online form below.
Early Bird Registration Before January 25, 2017 (Spring semester):

Registration Fee Waived + 10% Off Regular Prices
If you register early, Registration Fee is Waived, 10% deduction from Regular Prices (see bellow) applies – YOU MUST RESERVE YOUR SPOT!

Please send the check and form to:
41 Watchung Plaza #324
Montclair, NJ 07042
Or pay with PayPal
(Please note, a $5 fee is charged for paying through PayPal)

TEL: (973) 626 6130
madlommail@gmail.com
Skype: Mayamw18

 

* 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 after January 25 (Spring 2017):
New students add fee: $35 first child + $ 10 second child + $ 10 third child

1 class = $299 / Physical Theater & Acting (12 sessions) = $250

2 classes = $530
2 classes with drama as a second class = $480

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

Payment plans are available, as are a limited number of partial work scholarships.
No refunds after third week!