
Musical Theatre Film & Tv
Name: ____________________________ nickname: _________________
Address: __________________________ Age ______Grade _________
_________________________ Zip code_________________
Home Phone: ______________________ Child cell: _________________
How did you hear about Acting Naturally? _________________________
Parents: __________________________ cell: _____________________
Parents: __________________________ cell: _____________________
email: __________________________ email: ______________________
In case of emergency: ________________________________________
Current School: _____________________________________________
Hobbies & interests: _________________________________________
Dislikes: ___________________________________________________
List acting experiences: _____________________________________
Any areas you would like to focus on? __________________________
My Child _______________ has my permission to be photographed, taped and/or recorded while participating in "Acting Naturally"
X____________________________X_________________________ Print name
Mail Registration & non refundable check to: Acting Naturally c/oWendy Force McBride, 308 Arborlea Avenue, Yardley, PA 19067
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