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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