Application for Class
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APPLICATION FORM
Please check the class information, complete all required fields and submit.
Name of Class: 
Advanced Class(B)*
Instructor: 
Mr. David Rotenberg (admin@proactorslab.com)
Location of Studio: 
72 Stafford, Suite 301, Toronto
Dates and Times: 
Wednesdays from 1:30-5:30 PM, May 3 to June 7
Price: 
$490.00 ($433.63 + 56.37 HST)
      Are you 18 years of age or older?   (parental consent is required if under 18)
  Have you paid the Professional Actors Lab Registration Fee?   ($65 fee is required each calendar year)
Your Full Name:
Mailing Address:
City/Prov/Pcode:
,    
Your Email:
Verify Email:
Phone:
  Alt Phone:
Payment Method:
Cheque | Money Order | Bank Draft
 

NOTE: If paying by cheque or money order, please make session fee payable to: "Joe and Beth and She and Me Productions Ltd."

Please read: In consideration of being permitted to participate in any way in the training and other activities of Joe and Beth and She and Me Productions Ltd or The Professional Actors Lab, I agree to pay all fees and charges, and I acknowledge that Joe and Beth and She and Me Productions Ltd or The Professional Actors Lab reserve the right to determine my continued participation in such training and activities. Should discontinuation of participation be required, refund if allowed will be pro-rated accordingly by Joe and Beth and She and Me Productions Ltd.
    On behalf of myself, my heirs, executors, successors, administrators, assigns and whomever else may have an interest either at common law or by operation of statute, I hereby waive any and all claims I or such parties may have now and in the future, and release from all liability and agree not to sue Joe and Beth and She and Me Productions Ltd, Joe and Beth and She and Me Productions Ltd., or The Professional Actors Lab, their officers, directors, employees, contractors and agents (the "Releasees"), for any and all personal injury, property damage or loss sustained by me as a result of my participation in classes or other activities held at the Pro Actors Lab studios due to any cause whatsoever, including, without limitation, negligence on the part of the Releasees.
      I confirm that I have read and understand this agreement and am aware that in signing I am waiving certain legal rights and enter into this agreement of my own free will and volition.

  I understand and agree to the above waiver.


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