Participant Information

Full Name:

Age (if under 18):

Parent/Guardian Name (if under 18):

Phone Number:

Email Address:

Select Class Type Teen Acting ClassAdult Acting Class

Payment Plan Options

3-Month Commitment ($120/month)Month-to-Month ($140/month)

Media Release Consent

Do you consent to promotional media? YesNo

Attendance & Payment Policy

By registering, you acknowledge and agree to the following:

• You are committing to the payment plan selected above, regardless of attendance.
• Missed classes or missed months will not result in reduced fees.
• Your spot in class is held for you and must be paid for each month, even if you are unable to attend.

Signature

Date

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