Tennessee Valley Theatre
Adult Acting Workshop
Enrollment Form

Registration


INFO:
Your Name:
 
Age:

Gender:

MALE
FEMALE


Home Address:



Daytime Phone:



Are you aware of any current health problems?

NO
YES


If "Yes", please explain:




Publicity Release: By submitting this form, you are authorizing Tennessee Valley Theatre to photograph, film, audio/video tape, record and/or televise your image and voice and biographical material, in whole or in part in any medium now known or developed in the future, without any restrictions.

Code of Conduct: All participants show respect for others and the property and facilities used during this event and assume financial responsibility for any damages they may cause.

Submit Form:
Register

Name of person attending
 Required
Birthdate:
    Calendar
Age:
Gender:

Please enter your address, city, state and zip code
E-Mail Address:
 PUBLICITY RELEASE
By submitting this form, you are authorizing Tennessee Valley Theatre to photograph, film, audio/video tape, record and/or televise your image and voice, and biographical material, in whole or in part in any medium now known or developed in the future, without any restrictions.
Emergency Contact Name:
Emergency Contact Phone:
Are you aware of any current health problems?:

If "Yes", please explain.:
 Code of Conduct
All participants will show respect for others and the property and facilities used during this event and assume financial responsibility for any damages they cause.
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