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?*Sandra needs this specifically for helping her decide on scripts. Please make sure you fill this out.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 one Payment by Direct DepositPay 5 InstallmentsPlease pay the entire amount to the below account. Direct Deposit Details BANK: Commonwealth Bank of Australia BSB: 064 432 Account Number: 28008079 Reference: Students Name *Please email us to let us know you have paid.Please pay the first payment of $50 and the remaining 4 x payments of $68.75 before the class date to the below account. Direct Deposit Details BANK: Commonwealth Bank of Australia BSB: 064 432 Account Number: 28008079 Reference: Students Name *Please email us to let us know you have paid.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.Email address*UntitledSendThis field should be left blank
