L.A. Acting Workshop

L.A. ACTING

Workshop/East

407-876-0006

WORKSHOP REGISTRATION FORM

We accept VISA, MASTERCARD, DISCOVER and CHECKS (Make payable to L.A. Acting Workshop)

Please send checks to:

The L.A. Acting Workshop
1575 S. Maguire Rd. #E
Ocoee, Fl. 34761

OR Call 407-876-0006 to pay with a credit card over the phone.

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Student's Name (s):

Ages:

Select Which of the L.A Acting Workshops You Desire:

Workshop:

Select Which of the L.A Acting Summer Camps You Desire:

Summer Camps:

Parent's Name:

Date of Birth:

Grade in Fall:

School:

Address:

City/State:

Zip/Code:

Home Phone#:

Work Phone#:

Cell Phone#:

Pager#:

E-Mail:

Credit Card:

Type:

Credit Card #:

Expiration Date:

T-Shirt Size:

Youth:

Adult:

ENROLLMENT:

L.A. Acting Youth Players (ages 5-13)

Wednesdays 4:00-5:00 pm

Wednesdays 5:00-6:00 pm

Wednesdays 6:00-7:00 pm

Wednesdays 7:00-8:00 pm (Youth Performance Troupe)

L.A. Acting Teen Players (ages 12-18)

Tuesdays 6:00-8:00 pm

L.A. Acting Teen Players (ages 12-18)

Wednesdays 7:00-9:00 pm

I understand that by submitting this form to L.A. Acting, I am registered for the Workshops I have choosen. I can cancel at any time, however I will be responsible for the (non-refundable registration fee), that applies to the Session(s) that I have choosen above.

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