TO REGISTER FOR THE ACT ONE PLAYERS YOUTH ENSEMBLE CLICK HERE

 

ALL OTHER REGISTRANTS, PLEASE FILL OUT FORM BELOW.

 Items marked with * are required.

Select from the pull-down menu
Child's Name (for Youth/Teen Programs)
Child's Name (for Youth/Teen Programs)
Required for Youth. Adults: an age range is fine in order to select appropriate sides/copy
Parent's Name or Adult Registrant *
Parent's Name or Adult Registrant
Address
Address
Phone *
Phone
$
If applicable. Do not pay online. A separate email invoice will be sent with your discount applied.
Emergency Contact
Emergency Contact
Emergency Phone
Emergency Phone
Liability Agreement
With this enrollment , I release any and all rights and claims for damages against The Complete Actor Studio, LLC and their staff in the unlikely event of injury sustained by myself or my child while participating in this activity. In the event of a medical emergency I give my permission for The Complete Actor Studio, LLC to call 911
Media Use
Complete Actor Studio, LLC and Studio A Dance & Performing Arts LLC has my permission to use photographs , videos or images of my child for print or electronic media.

PAY NOW 

Pay Now Using Visa, MasterCard or American Express


PAY with check

Send payment to The Complete Actor Studio, 124 Simsbury Road, #5A, Avon, CT 06001

Payment must be received one week prior to start of class.