Registration

Please print out and complete the following form below, then email your form to dutton.nan@gmail.com.  

If you have Adobe Acrobat, A PDF document of the form can be found here:  

Class Registration Form

REGISTRATION

NAME: ______________________________________________________

BEST WAY TO CONTACT YOU & TIME: _________________________

ALTERNATE: _________________________

ADDRESS: ___________________________________________________

CELL PHONE NUMBER: _______________________________________

WORK PHONE NUMBER: ______________________________________

HOME PHONE NUMBER: ______________________________________

EMAIL ADDRESS: ____________________________________________

ALTERNATE EMAIL ADDRESS: ________________________________

EMERGENCY CONTACT:  Name: _______________________________

Phone Number: ________________________

It is my understanding that attendance is of great importance and that absences and tardiness are not acceptable, and will have a negative effect upon my fellow classmates and my ability to learn.  Therefore, I will make every effort to be in class.  All classes are structured with a two or three-month commitment.  Deposits are non-refundable. There are no credits for time missed other than a booked acting job or an important matter discussed well in advance and approved by the studio. Thank you-

_________________________________

Signature of acceptance required

CLASS INFORMATION

CLASS ATTENDING: __________________________________________

START DATE OF SESSION: ____________________________________

DEPOSIT REQUIRED- FOR FIRST TIME STUDENT & EACH CLASS THAT YOU REGISTER FOR

Must be received a week prior to the start date of class.

($80./Paid by: check, PayPal, cash or money order; deposit will be applied towards tuition)

(Note a $5. fee will be applied to all PayPal transactions)