3-Day Film & TV Intensive with Claudia Jurt
 Pre-Registration

Last Name: First Name: Middle Initial:

Permanent Address:

City: Province: Postal Code:

D.O.B.: (m)(d)(yr)     Age:

Home Tel: Cell/Pager:

Work: Email:

Medical & Allergy Alert - Please list any medical or allergy information that we should know:

Have you previously taken an A.C.T. course? Yes / No

How did you hear about A.C.T?

If "Other", please specify:

ACT Permission & Photo Permission

In consideration of A.C.T. accepting me, , in the course noted below, I and my heirs do voluntarily waive and release each and every right or claim for damages we and each of us have or may have against the school, its agents or representatives for any and all injuries or mishaps howsoever occasioned.

I give permission for the use of photographs that may be taken during the workshop or other activities related to A.C.T. to be used by A.C.T. in promotional material for the school.  I understand that there will be no financial remuneration for the use of any photograph.

Name: Date:

Please check which course you would like to take:

AINTENSIVE ACTING - MARCH 20-27, 2009
 BINTENSIVE ACTING - APRIL 18-25, 2009

Cost: $375.00 + 5% GST = $393.75
Early Bird Discount: $350.00 [must pay by February 27 (March Intensive)
                                   or March 30 (April Intensive)] + 5% GST = $367.50

PRE-REQUISITE(S): By Invitation Only
     
AUDITING COSTS:  
$25.00/ weeknight class (+ 5% GST) = $26.25
$40.00/ weekend class (+ 5% GST) = $42.00

     OR

   $175.00 (+ 5% GST) = $183.75 for the whole session
To be considered for this class as a participant or auditor, please
 email your photo/resume to Info@ACTottawa.com and answer the following questions:
1. Why do you want/like to act?
2. Why do you want to take this class?
2.  What will you as an actor bring to this class?

ALL applicants MUST send a $100.00 deposit w/ answers to above questions, before their applications will be considered.
 

Unless otherwise notified, the workshop will take place at Arts Court, 2 Daly Avenue, Ottawa, ON (between Waller and Nicholas Streets, across from the Novotel Hotel and the Rideau Centre)

Payment Options

AEarly Bird Discount (must pay by February 27/March 30)
Attached, please find my signed registration form and my cheque
of $367.50 (incl. GST) in full payment.

BAfter Early Bird Deadline - Attached please find my signed registration form and my
cheque of $393.75 (incl. GST) in full payment.

CAttached, please find my signed registration form and 3 Cheques.  A current cheque of $100.00 (to reserve my spot), together with my cheques of $293.75 dated no later than March 19, 2009.

DAUDITING ONLY - Attached please find my signed registration form and my cheque of $183.75 (incl. GST) in full payment.

EI am paying online using Paypal.

Before you click the SUBMIT button below, please print this page and mail a copy with your cheque(s) payable to:  A.C.T.

Send your printed copy and cheque(s) to:

A.C.T. | RE: Acting Intensive | 798 High St. Ottawa, ON K2B 6C4

Pre-Registration Forms will be held for one week. If no payment is received within 7 days, your Pre-Registration will become void.

REFUND POLICY:

If you are unable to attend due to illness, we will accept a medical letter no later than one week before the course begins.  A refund minus an administration fee will be given at that time.

Please note that participating in this workshop does in no way guarantee talent representation or any performance related work to the participant.