ONLINE COURSE REQUEST FORM

PLEASE FILL OUT THE ONLINE COURSE REQUEST FORM BELOW

FILL IN YOUR CONTACT INFORMATION. Your information is private and will not be used in any way outside of the intended reason for these classes.
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Student's name*

First NameLast Name
Student's age*
Select Online Course:

Choose either Public Speaking, Public Speaking ADULTS, Acting on Camera or Auditions.
Pick one course*

PUBLIC SPEAKINGPublic Speaking ADULTSACTING ON CAMERAAUDITIONS
Choose your Day and Time for the class you want.

EST means Canadian Standard Time. Please remember to check the Canadian start time of the course you want to select with YOUR LOCAL TIME.
TUESDAY CLASS OPTIONS:

Tuesday 11 - 12 noon ESTTuesday 12 noon -1pm ESTTuesday 1 - 2pm EST
WEDNESDAY CLASS OPTIONS:

Wednesday 11 - 12 noon ESTWednesday 12 noon 1pm ESTWednesday 1 - 2pm ESTWednesday 2 - 3pm EST
THURSDAY CLASS OPTIONS:

Thursday 11 - 12 noon ESTThursday 12 noon 1pm ESTThursday 1 - 2pm ESTThursday 2 - 3pm EST
HOW WOULD YOU PAY FOR THE COURSE?

Select from one of the three payment options below.
Payment Options:*

Cheque made payable to "Studio City North Inc"Pay by E-Transfer to: chrishealytv@gmail.comCredit Card (add 3% Credit Card processing fee)
STUDENTS VOICE SUBMISSION

Follow instructions below.
Below is the text the student reads into their recording device exactly as written. Just fill in the blanks:

Hello my name is (...)
I am (...) years old.
I would like to be in (pick one from below - Public Speaking or Acting course or Auditions course - All times shown are Canadian Toronto Eastern Standard Time)

TUESDAY CLASS OPTIONS:
Tuesday 11 - 12 noon, Tuesday 12 noon -1pm, Tuesday 1 - 2pm
WEDNESDAY CLASS OPTIONS:
Wednesday 11 - 12 noon, Wednesday 12 noon, 1pm Wednesday 1 - 2pm, Wednesday 2 - 3pm
THURSDAY CLASS OPTIONS:
Thursday 11 - 12 noon, Thursday 12 noon, 1pm Thursday 1 - 2pm, Thursday 2 - 3pm

Then speak this Tongue Twister: "Say this tongue twister softly, say it swiftly, say it sixteen times daily"
FINAL STEP - Attach student's recorded voice in mp3 only*
IF YOU HAVE A QUESTION:
Once you click the submit button you will be re-directed to a thank you page. Christopher will get back to you within a few of days. Thank you.
Should be Empty:

PLEASE FILL OUT THE ONLINE COURSE REQUEST FORM BELOW

Select Online Course:

Choose your Day and Time for the class you want.

HOW WOULD YOU PAY FOR THE COURSE?

STUDENTS VOICE SUBMISSION