Name of Prospective Student
Name of Parent
Email
Confirm Email
Telephone
Mailing Address
Age Range of Student
5 - 9
10 - 13
14 - 17
18 - 21
22 - 101
Do you have a Skype account?
Yes
No
If not, what video conferencing network do you use?
What class(es) are you interested in taking?
On-Camera Audition Technique
Scene Study
Mastering Commercial Work
On-Camera Technique
Movement and Voice
Speech and Accent Reduction
Please tell us about the student’s acting experience.
List three days and time that the student is available for classes. (use your local time)
Is the student currently enrolled for Young Actors Camp this upcoming summer?
Yes
No
If the student was previously enrolled in a Young Actors Camp program, please list.
If the student is under 18, is there interest in registering for this summer’s residential acting program?
Yes
No
Are you certain you are ready to pay the tuition for the classes now?
Yes
No
If not, how would you like for us to contact you to discuss further?
Phone
Email
If you are ready to receive an invoice, how would you like to pay?
PayPal
Phone Payment with Credit Card
Fax Credit Card Authorization
Email Scanned Credit Card Authorization
Comments
How did you hear about us?