Walter Pridgen's Acting WorkShop

ONLINE REGISTRATION
Which class would you like to register for?*
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Actor's Name *
Actor's Age *
Birth Date (mm/dd/yyyy)
Parent's Name (if actor under 18 yrs.)
Street Address *
City *
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Zip Code *
Home Phone (xxx-xxx-xxxx)
Cell Phone (xxx-xxx-xxxx)
Email Address *
Agency Name (if appl.)
Agent's Name(if appl.)
Manager's Name (if appl.)
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