New Student Intake Form: Curtain Up! LLC Private Voice and Acting Lessons
Welcome! and Thank You for your interest in Private Voice and/or Acting Coaching.
Please fill out the form below so that we can get to know you a little better and meet your goals!
Email address *
Student Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
School Attending *
Your answer
Grade *
Your answer
Mailing Address *
Your answer
Parent/Guardian Emergency Cell *
Your answer
Have you studied voice privately before? *
Required
If you answered YES above, please tell me a bit more about your experience.
Your answer
Please tell me a bit about yourself and your goals. *
Your answer
Please select all that apply so that I may best coordinate scheduling: *
Required
How did you hear about Curtain Up! LLC? *
Your answer
Lesson Agreement
By typing my name below I understand that payment is due at the time of lesson. Lessons may be purchased in a series of 10 and a 10% discount will be applied when paid in full at time of first lesson. A $50 fee is charged for returned checks.

Lesson time has been reserved for you and payment is due in full for last minute cancellations and no-shows.

48-hour cancellation notice expected in order to reschedule lesson.
Parent/Guardian Name: *
Your answer
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