Connecticut Registration

WELCOME TO ADDERLEY!

Everyone on the A-Team is thrilled to bring our program to the East Coast with our newest location in Darien, CT! Sign up today or e-mail us at darien@adderleyschool.org for more information. We love you madly already!

Fall workshops are underway as we gear up for our final performances of the semester!

For a complete list of our Spring workshops, please email us at darien@theadderleyschool.com

REGISTRATION FORM

All sales are final & non-refundable

Your registration is NOT valid without a $175 deposit . To secure your child’s enrollment in class and to ensure that you receive all vital information updates and changes, please remit your $175 deposit along with your registration! ♥️

Please ensure you submit your registration form AND make a payment to ensure enrollment.

STUDENT'S NAME

First Name

Last Name

Birthdate

Age

Location

School Name

Where does the student go to school?

Gender

Male

Female

Non-Binary

Parent #1 Name

First Name

Last Name

Parent #2 Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent #1 Email

Parent #2 Email

Parent #1 Cell

(###)

###

####

Parent #2 Cell

(###)

###

####

Parents are

Married

Divorced

N/A

Emergency Contact

Name, Email, & Phone # (NOT a parent. Can be another family member, friend, neighbor etc.)

Student Personal Email & Phone # (If Applicable)

Class First Choice

*In the event that your first choice class does not fill, you will be asked to enroll in your second choice.

Class Second Choice

How Did You Hear About Us?

Additional Notes & Comments

DEPOSIT PAYMENT LINK

CONNECTICUT Workshop PAYMENTS