Julia Ainsworth
B.F.A, B.ED
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How did you hear about MTL Acting?
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word of mouth
online search
facebook
posters
other
Tuition payment
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cheque payable to Julia Ainsworth
cash
e-transfer to julia_ainsworth@hotmail.com
credit card *Please note there is 2.5% service fee added for credit card payments (click submit then proceed to payment below)
Class type
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Children's weekly class (ages 8-12) Saturdays 10:30 am-12:30 noon, 6651 Blvd St Laurent
Teen's weekly class (ages 13-16) Thursdays 6:30-8:30pm, 6651 Blvd St Laurent
Private coaching (all ages) Studio location TBA
Address
Learning challenges or notes:
1st language
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English
French
Other _______________
Allergies:
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I have read and agreed to the studio policies: http://www.juliainsworth.com/studio-policies.html
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Email:
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Name of Parent/Gaurdian
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Level of experience
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Beginner
Intermediate
Advanced
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Phone
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Secondary contact (name & phone number)
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Student Name
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Student age
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