Pre-registration/Payment Form

PRE-REGISTRATION/PAYMENT FORM

Personal Information DATE : (format: DD-MM-YYYY)

PERSONAL INFORMATION (REQUIRED)

NAME:

ADDRESS:

PHONE:

EMAIL:

Class Information

PAYMENT TYPE (SELECT ONE)

PRE-REGISTRATION

CLASS PAYMENT

SEMESTER (SELECT ONE)

WINTER

SPRING

SUMMER

FALL

CLASS (SELECT ALL APPLICABLE)

TECHNIQUE 1&2 DAYTIME

TECHNIQUE 1&2 NIGHTTIME

COLD READING

SHAKESPEARE

BEGINNING SCENE STUDY

ADVANCED SCENE STUDY

PAYMENT TYPE (PRE, FULL, SPLIT, LATE):

Conditions

I understand that by clicking on the agree button I allow Actors Circle Theatre to charge my credit/debit card through Paypal. I understand that I may only ask for a refund according to the terms specified in the Actors Circle Theater Student Contract. I understand that I will be charged a 3.5% fee per transaction as a convenience fee for making payments online.

I accept terms of use :

Actors Circle Theater

7313 SANTA MONICA BLVD

LOS ANGELES, CA 90046

(323) 882-6805