Youth & Teen Class Registration

L.A. ACTING
WORKSHOP

407-876-0006

WORKSHOP REGISTRATION FORM

We accept VISA, MASTERCARD, DISCOVER and CHECKS (Make payable to L.A. Acting Workshop)

Please send checks to:

The L.A. Acting Workshop
1575 S. Maguire Rd. #E
Ocoee, Fl. 34761

OR Call 407-876-0006 to pay with a credit card over the phone.

Student's Name (s):

Ages:

Parent's Name:

Date of Birth:

Grade in Fall:

School:

Address:

City/State:

Zip/Code:

Home Phone#:

Work Phone#:

Cell Phone#:

E-Mail:

*Credit Card:

Type:

Credit Card #:

Expiration Date:

T-Shirt Size:

Youth:

ENROLLMENT:

L.A. Acting Youth Players (ages 5-10)

Wednesdays 4:00-5:00 pm Grades K - 1

Wednesdays 5:00-6:00 pm Grades 2 - 3

Wednesdays 6:00-8:00 pm Grades 4 - 5

L.A. Acting Teen Players and Teen Performance Troupe(grades 6-10)

Tuesdays 6:00-8:00 pm

Thursdays 6:00-8:00 pm

I understand that by submitting this form to L.A. Acting, I am registered for the Workshops I have chosen. I can cancel at any time; however, I will be responsible for the $60.00 non-refundable registration / materials fee.
*A 3% convenience fee is applied to all credit card payments.

L.A. Acting Workshop * 1575 S. Maguire Road, Ocoee, FL 34761 * (407) 876-0006