2 Day Intensive American Dialect WorkshopYour DetailsLet's get to know you!NameFirstLastPhone Number*Email address*Your Acting NameDo you go by a different name as an Actor?FirstLastYour AgentWho is your agent? If you don't have one put "Freelance"Age*18 or overUnder 18What is your Age?*Parent or Guardian's NameFirstLastParent of Guardian's Phone Number*Parent of Guardian's Email address*Social Media and ProfilePlease Upload your HeadshotUpload a photo of yourself to help our teachers familiarise themselves with the class. Crop to head and shoulders. Can be a selfie.Your Instagram accountIf you have oneYour facebook accountIf you have oneYour imdb accountIf you have oneRecomendationsWe suggest you bring the following.*Tick to acknowledge.WaterbottleNotepad / PenSnacks / LunchSome scenes are filmed so make sure*Tick to acknowledge.You are camera readyWear appropriate clothingPaymentHow would you like to pay?*If you want to pay via credit card please note it will incur a 3% credit card fee which will be reflected on the invoice.Pay by Direct DepositPay via Credit CardDirect Deposit Details BANK: Suncorp BSB: 484 799 Account Number: 200212296 Reference: Students Name *Please email us to let us know you have paid.*A 3% Credit Card fee will be added to your invoice.Name to appear on your invoiceWhat name do you want us to put on your invoice?Phone Number for the invoice....if different to the one you gave.Email address for the invoice....if different to the one you gave.** Please note that the invoice needs to be paid within 7 days of submitting your booking. Unpaid bookings will not have their spaces held.SendThis field should be left blank
