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To register 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    
Day Phone
 Cell Phone
Evening Phone
Email Address
Your Age
   
Date of Birth D/M/Y

Gender

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

How did you hear about THE COURSE?

If "Other", please specify

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

Why do you want to take this course?

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 photographs that may be taken during the class to promote the Agency and the course on the internet.

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.

The cost for the Getting Started in Film & TV 101 class is $50. As we are keeping the class size small, seats are limited, you must submit your application and pay several days before the class.

Payment Options are:

A I am submitting my on line application now and mailing a cheque to Atlantic Talent 371 Shore Drive, Bedford, NS B4A 2C7. Your $50 payment must be received by Atlantic Talent 7 days before the class.

B I am submitting my on line application now and will hand deliver my $50 cheque to Atlantic Talent 371 Shore Drive, Bedford, NS B4A 2C7. PLEASE NOTE: We are often out meeting with clients so please call us 404-3070 ext 2 to let us know when you would like to drop your cheque off.

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

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

Please make your cheque payable to:  

Atlantic Talent Agency
371 Shore Drive,
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.