REGISTER NOW Actor Name * First Name Last Name Date of Birth * Actor Email * Age * Primary Address * Please fill in ALL fields for processing purposes. Address 1 Address 2 City State/Province Zip/Postal Code Country Actor Phone Number * (###) ### #### Agent/Manager * Parent Name * Parent Phone Number * (###) ### #### Emergency Contact Number * (###) ### #### Preferred Day * I have read and agree to DTV's Policies & Procedures I agree Select the Workshop * Morning Workshop - 10:00am - 1:00pm Kids ages 5-13 Afternoon Workshop - 2:00pm - 5:00pm Kids ages 14-18 Evening Workshop - 6:00pm - 9:00pm Adults ages 18 & up Select the day * Saturday, October 12 Sunday, October 13 Thank you!
