2010 REGISTRATION FORM
(For All Programs)

Register Now!

Complete the registration form below. Registration Form and full payment must be received by day 1 of selected program.

*An individual form must be filled out for each student enrolling.

Select Your
Program 		Summer Acting Camp
Young Actors Conservatory
Student Information
Student's Name Boy Girl
Student
Email (optional)
Birth date
Age
Sizesshirt pants shoes
School Grade
City
Special Talents
Previous
Training
(if applicable)
Parent/Guardian Information
Parent/Guardian Names
Address
Apt.#
City Zip
Telephone
Numbers		Home Work
Cell     
Email
Class /
Conflict Information:
Review program details for scheduling information.
Conflicts
How did you hear about us?
Special
Comments
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Next step: Click Register Now then pay your $75 deposit per child to reserve your spots.

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