the company acting
studio www.thecompanyactingstudio.com
Main Midtown Studio Address
PROGRAM
AGREEMENT: “GWINNETT ANNEX PROGRAM”
Sign and return with payment to address or fax number
above.
Once payment is received you will receive an email
confirming your spot in the program.
Student Name_______________________________________
Date of Birth ____________
Parent or Guardian
_____________________________________________________________
Street
Address__________________________________________________________________
City______________________________
State_________ Zip_____________
Phone_________________________________Email__________________________________________
1. CLASS
- check desired program(s)
A]
THE ACTORS WORKOUT
7-9 yr:
Mon. 5:00-5:50___ 10-11 yr: Mon. 6:00-6:50___ 12-15 yr: Mon. 7:00-8:15___
16-18 yr: Weds.
Start Date:__________ End Date:_________
B]
ADVANCED ON-CAMERA TECHNIQUE Must be
enrolled in “The Actors Workout” to qualify.
10-11 yrs: Thurs.
C]
7-9 yr: Sats.
Start Date:__________ End Date:_________
2. AGREEMENT TERMS
(Check your preferred agreement term and payment option)
Advanced
On-Camera Tech, you pay monthly. Add the fee of $45.00 when you pay each month.
A] 3 Month Agreement:
Pay in Full $285.00 _____ ($285.00
must be paid to enroll.)
Pay Monthly $95.00 per month _____
($95.00 must be paid to enroll.)
B] 6 Month Agreement:
Pay in Full $540.00 _____ ($540.00
must be paid to enroll)
Pay Monthly $95.00 per month _____
($95.00 must be paid to enroll)
C] 12 Month Agreement:
Pay in Full $960.00 _____ ($960.00
must be paid to enroll)
Pay Monthly $85.00 per month _____
($85.00 must be paid to enroll)
3. FINANCIAL AGREEMENT - Responsible
Party_______________________________________
Please initial your choice FOR MONTHLY payments:
A)
I plan to pay each month by Check, Money Order or Cash
and understand that the payment is due on the first day of the class each
month. ________
B)
I wish to have my charge card charged (MC or VISA ONLY)
each month and I understand that the fee will be charged between the 1st
and 3rd of the month. ________
Please initial your choice FOR
A)
Enclosed is a Check, Money Order or Cash for the full
amount of the program I chose above. ____
B)
Please charge my card (MC or VISA ONLY) for the full
amount of the program I chose above.____
Credit Card Information:
MC or VISA ONLY______ Card
#___________________________________ Exp Date____________
Name as it appears on the
card__________________________________________________________
Street Address where cc statement
is sent:_________________________________________________
City___________________________State________
Zip________________
4. MUST READ
My
signature below is authorization to charge the card number listed above for the
total amount when paying by credit card. My signature below agrees me to the
following, I understand that the total cost for the program is as listed above and
I am liable for the amount of the program agreement I chose. I understand that there are no refunds for
missed classes and I can only attend classes in my assigned group. No fees can
be transferred to another program, to private training or to another student. I
understand that if I chose to pay in full absolutely NO REFUNDS will be made.
If I chose a monthly agreement and need to end my agreement prior to the end
date of the agreement, I am subject to a penalty payment of half of the total
balance remaining on the agreement. By
my signature below I indicate that I understand and agree with this financial
agreement and understand the terms and policies of the school. I
have signed a payment and program policies agreement as well.
_________________________________
_______________________
Signature
of Responsible Party Date
the company acting studio
STUDENT NAME__________________________ PARENT/GUARDIAN______________________
Please read
each point carefully and initial by each one. Please sign on the bottom to
indicate that you understand the following statements. Please be sure to ask
any questions before signing.
_______ 1) Payment is due in full for each month prior to
starting class for those paying monthly.
_______ 2)
There is a $25.00 returned check fee, and new payment must be
remitted in cash or by credit card.
_______ 3) Students are expected to follow the rules and
behavior protocols established within the school. Any student who causes a
disruption to their class, the school or the learning environment of other
students will be warned. After one warning, that student can be asked to leave
the program and no fees will be returned.
_______ 4) Student agreements are a legal binding contract.
Entering into an agreement with The Company Acting Studio makes the student
liable for the full amount of the contract regardless of absences.
_______ 5) Students cannot bring friends or family to class.
_______ 6) Parents cannot leave children who are friends or
family members under the age of 18 at the school unattended.
_______7) Students will not have cell phones turned on in
class, unless there is a specific reason requested by the parents to the
instructor.
_______8) Disrespect towards other students or teachers is
not tolerated.
_______9) The studio directors have
the right to deny renewal to any student for any reason.
_______10) The Company Acting Studio does not guarantee
career-advancement or the right to enroll in The Kids and Teens Conservatory
due to participation in the “Gwinnett Annex” Program.
_______11) If your Group is full
when your registration arrives, we will contact you to would like to WAIT LIST.
There is no fee to WAIT LIST.
______ 12) We will assume your
registration is for the top of the next month (all students must start at the
beginning of a month). We will confirm your starting month when we contact you.
_______ 13) If your agreement includes a month where only
three classes are held due to a holiday, you will be given a credit or refunded
$20.00 on a 3 or 6 month agreement, or $15.00 on a 12 month agreement, for that
class.
_______ 14) No fees can be transferred to another program,
to private training or to another student.
________ 15) I understand that if I chose to pay in full absolutely NO
REFUNDS will be made.
________ 16) If I chose a monthly agreement and need to end my agreement
prior to the end date of the agreement, I am subject to a penalty payment of
half of the total balance remaining on the agreement.
By
my signature below, I accept and agree to the statements above.
_______________________________________ _____________
Signature Parent/Guardian Date