Name of Actor *

First Name

Last Name

Select Your Workshops Here:

Stage & Scene: Adult Acting Workshop (Ages 18+) | Thurs 7-9pm | $125

Birthdate

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Actor Cell

(###)

###

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Home Phone

(###)

###

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Emergency Contact Name *

First Name

Last Name

Emergency Contact # *

(###)

###

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PLEASE NOTE *

By registering for a Pride Performing Arts workshop or accepting a role in a production, you agree to have your photo, likeness and/or first name used in all forms of publicity via advertisements, social media or websites. If you do not wish your photo or name to be used, please notify us in writing before the start of the first class or rehearsal process. Payment is due upon Invoice receipt. A one-time $25 registration fee will be applied to all new students.

I Agree