Workshop Registration and Merchandise Order Form
All fields required to register/purchase. Confirmation will be emailed to you.
Registration acknowledges acceptance of terms below.*
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Select a workshop:
--Choose Event--
Actors Helping Actors/July21/SJ $25
Actors Helping Actors/July28/Reno $25
Beginning Improv/July24 $100
Elite Mentoring Program $2500
Photo Session $325
Industry Ready - $100
Beginning On Camera - $300
Intermediate On Camera - $300
Voiceover 1 & 2 - $100
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Select Location:
--Select Location--
Reno, NV
San Jose, CA
Los Angeles, CA
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Select Month (if applicable):
January
February
March
April
May
June
July
August
September
October
November
December
Personal Information
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First Name:
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Last Name:
Parent/Guardian
(if under 18)
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Mailing Address:
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City:
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State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanavNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
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Zip Code:
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Phone :
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Home
Work
Cell
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Email Address:
How did you hear about this opportunity?
Comments:
Payment Information Required for Registration/Purchase*
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# of Attendees
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Name on Credit Card:
*
Credit Card Type:
Master Card
Visa
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Credit Card Number:
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Expiration (MM/YY):
NOTE:
Attendance is the responsibility of the Talent. Not attending for any reason does not warrant a
refund or make-up session.
NO Cancellations—No Refunds
*
Indicates Response Required