ONLINE REGISTRATION

 
Full Name:

 
E-Mail Address:

 
Phone Number:

 
Address:

 
City, State, Zip

 
Birthday (MM/DD/YYYY)

 
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
42 Memorial Plaza
Suite 1
Pleasantville, NY 10570
 

As an alternative to online registration, you can download the LVP Registration Form and mail it with your payment. Click here to download.
 
Registration form requires Adobe Acrobat Reader.