August Acting Jams - Registration

Registration Form

Please fill in the form below
Student's Name *

First Name Last Name
Age of child:
Name of Parent or Guardian

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
I understand that photos and videos will be taken for archival and promotional purposes.

I give permission for photos and videos to be taken of my child for these purposes. I do not give permission for photos and videos to be taken of my child. Photos and videos may be taken of my child, but I do not give permission for them to be shared on social media.
Registration Fee: $120.00

Payable by etransfer to otcimprov@yahoo.com

Thank you!
Should be Empty:

Registration Form