Application for Class
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APPLICATION FORM
Please check the class information, complete all required fields and submit.
Name of Class: 
General American Accent Workshop
Instructor: 
Location of Studio: 
72 Stafford St, Suite 301, Toronto
Dates and Times: 
Thursdays from 10:30-1:30pm, April 23, 30, May 7
Price: 
$225.00 ($225.00 + 0.00 HST)
      ARE YOU 18 YEARS OF AGE OR OLDER?   (you must be 18 or older to proceed)
  Have you paid the Professional Actors Lab registration fee?   ($75 fee is charged annually)
Your Full Name:
Mailing Address:
City/Prov/Pcode:
,    
Your Email:
Verify Email:
Phone:
  Alt Phone:
Payment Method:
eTransfer
 

NOTE: If you wish to pay your instructor via eTransfer, then your online banking recipient [Phyllis Cohen] should be set up with email phyllis@canadianpronunciationcoach.com. Also please remember to email the password to your instructor to accept the funds.

IMPORTANT: PLEASE READ AGREEMENT AND WAIVER
(Note: we cannot accept your application unless you are eighteen years of age or older,
and you agree to the terms stated below.)

In consideration of being permitted to participate in any way in the training and other activities of Phyllis Cohen or The Professional Actors Lab, I agree to pay all fees and charges, and I acknowledge that Phyllis Cohen 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 Phyllis Cohen.
    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 Phyllis Cohen, Joe and Beth and She and Me Productions Ltd., or The Professional Actors Lab, their officers, directors, employees, instructors, contractors and agents (the "Releasees"), for any and all personal injury, property damage, harm or loss sustained by me as a result of my participation in training, 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.


BY CHOOSING YES, I AM SIGNING THE ABOVE AGREEMENT AND WAIVER.

  I have read and understand the agreement and waiver stated above.


Email Notification: do you wish to receive emails about current and future
application deadlines, classes or workshops?*

A confirmation email will be sent automatically upon successful submission. Your instructor will notify you, when you are accepted into class.
*Professional Actors Lab and it's affiliates comply with The CRTC's anti-spam legislation. If at any time in the future you wish to UNSUBSCRIBE from our eNotifications, please do so here or email your instructor.