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Name _Last_ _First_ _Middle_ Mailing Address City State Zip Email

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Name _Last_ _First_ _Middle_ Mailing Address City State Zip Email Powered By Docstoc
					                             COURSE REGISTRATION FORM

                                                                    Today’s Date:_____________




Name:
             (Last)                           (First)                               (Middle)




Mailing Address:



City:                            State:                             Zip:



Email Address:



Home Phone:                                                         Cell:


Are you currently attending AUP classes?    □ Yes          □ No
If yes, which class(es)?___________________________________________________________

Have you ever taken classes with AUP?       □ Yes          □ No
If yes, which class(es)?___________________________________________________________



Your availability (please note specific times you ARE available):

Sunday        Monday        Tuesday        Wednesday    Thursday           Friday              Saturday




QUESTIONS? Visit AUP’s website www.actingup-productions.com or call 317-373-5390.
                             COURSE REGISTRATION FORM

                                                                  Today’s Date:_____________

Requested Course(s):

Children’s Course Title:
_____________________________________________________________________________

Group Class Title:
_____________________________________________________________________________

Master Class Title:
_____________________________________________________________________________

Vocal Class Title:
_____________________________________________________________________________

Specialty Class Title:
_____________________________________________________________________________

Pay-Per Session Title:
______________________________________________________________________________




**For Children’s Classes ONLY:

Childs age:________________________         Parent/Guardian:___________________________

Emergency Contact:_________________         Phone #:__________________________________



Registration procedure:

Please submit Registration Form, Payment Agreement and a Headshot/Resume (if you have
one). Once these are received, we will schedule an interview time for proper class placement.




Student Signature: ___________________________________ Date:_____________________



Parent/Guardian Signature: _______________________________________________________


QUESTIONS? Visit AUP’s website www.actingup-productions.com or call 317-373-5390.

				
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