____Musical Theatre   ____Advanced MT/Georgia   _____Teen Acting & Improv  ______TV & Film                                                            

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". I understand that in the event of an unforeseen show cancelation. The show will be rescheduled within one week of the original show date. I will make every effort to have our actor available for the show. 

X____________________________X_________________________ 
                                                                  Print name

For Costuming: Shirt size_______ Pant Size_______ Dress Size_______     Shoe size_________

Mail Registration & non refundable check to: Acting Naturally c/o Wendy Force McBride, 308 Arborlea Avenue, Yardley, PA. 19067