Registration Form

Leif’s Improv Acting Playhouse

Registration Form  

Registrant’s Information:

First                              Last

____________________________________

Birth Date ____/____/____     Age ________    Sex:    M      F

School Attending: ________________________    Grade _________  (If Applicable)

Home Address _______________________________________ Apt#_______ City______________ State________ Zip__________

Phone #   ___________________________    Phone #   ___________________________    Email __________________________

Parents Name/Info

  1. Full Name: _______________________ Relationship__________ Phone____________
  2. Full Name: _______________________ Relationship__________ Phone____________
  3. Full Name: _______________________ Relationship__________ Phone____________

Registering for:

1)Improv/Intro to Acting

2)How to Audition for TV, Film, Commercials on Camera

3) Adult Improv.

4) Performance Improv. 

5)Privates

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