Scene Study On-Camera
 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:

Why do you want to take this course?

Please provide a brief summary of any relevant acting experience or training:


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:

SCENE STUDY ON-CAMERA - TUESDAYS - January 29 - March 18 (5:00-10:00pm)

Cost: $375.00 + 6% GST = $397.50
Early Bird Discount: $350.00 (must pay by December 29) + 6% GST = $371.00
ACTRA/CAEA Members: $350.00 + 6% GST = $371.00       

PRE-REQUISITE(S): By Invitation Only


AUDITING COSTS:
$25.00/class (+ 6% GST) = $26.50
 OR
       $150.00 (+ 6% GST) = $159.00 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 NEW applicants MUST send a $100.00 deposit (or full payment) w/ answers to above questions, before their applications will be considered.
Returning students only need to fill out this registration form & send a $100.00 deposit or full payment.

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 December 29) & ACTRA/CAEA Members and Apprentices - Attached, please find my signed registration form and my cheque
of $371.00 (incl. GST) in full payment.

BAfter December 29 (does not include ACTRA/CAEA Members) - Attached please find my signed registration form and my cheque of $397.50 (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 $150.00 (dated no later than January 29) and $147.50 or $121.00 (ACTRA/CAEA members) dated no later than February 29, 2008.

DAUDITING ONLY - Attached please find my signed registration form and my cheque of $159.00 (incl. GST) in full payment.


Please print this page and mail a copy with your cheque(s) payable to:  A.C.T.

 Full refunds will be given to applicants who are not accepted.

A.C.T. | RE: Scene Study On-Camera | 2 Daly Ave. Ottawa, ON K1N 6E2

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 cousre 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.


Phone (613) 565-2107   *   Fax (613) 688-1618  *   E-mail: info@actottawa.com