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To registration online for any of our classes fill out and submit the following form

Name of the course
Date course begins D/m/y
Your First Name
Last name
Street Address
City/Town
Province
Country
Postal Code    
Daytime Phone
 Cell Phone
Evening Phone
Fax
Email Address
   
Date of Birth D/M/Y

Gender

Have you previously taken an Atlantic Talent Agency course? Yes No

How did you hear about Atlantic Talent?

If "Other", please specify

Please provide a brief summary of acting experience or training (if any)

Why do you want to take this course?

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

Legal disclaimer:

I waive the right to claim any damages that I could have against the school or it presentatives for any injuries or mishaps that I may have while taking this class.

I give permission to Atlantic Talent Agency to use any photographs that may be taken during the workshop to promote the actors or the school.

Name Date D/m/y Age

I am at least 18 years old. Minors (under the age of 18) require parental permission. If you are the parent/guardian of a minor, contact us to give your concent.

Payment Options BY MAIl:

A Getting Started in Film & TV: Total cost $45, - Attached please find my signed registration form and my $30 deposit, $15 to be paid at the class.

B Getting Started in Film & TV: Total cost $45, - Attached, please find my signed registration form and $45 for the total cost of the class.

If you are unable to attend due to serious illness, let us know before the course begins and we will refund your money minus a small administration fee.

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

Please mail your cheque payable to:  

Atlantic Talent Agency
371 Shore Dr.,
Bedford, NS B4A 2C7

 

Submitting this application is considered a digital signature verifying that all the information is true and accurate

participating in this workshop does not in any way guarantee talent representation or any performance related work to the participant.