Little Village Playhouse

Full Name: E-Mail Address: Phone Number: Address:

City, State, Zip

Birthday (MM/DD/YYYY) Grade Name of Parent or Guardian: Emergency Phone: Class You Are Enrolling In:

Additional Notes or Comments
Please make checks payable to Little Village Playhouse and send to:

Little Village Playhouse
147 Wheeler Avenue
Pleasantville, NY 10570

As an alternative to online registration, you can download the LVP Registration Form and mail it with your payment.

Registration form requires Adobe Acrobat Reader.

Little Village Playhouse in Pleasantville, New York