Registration Form

Khaotik Entertainment

Modeling / Acting Workshop

Pre-Registration Form – Mail In

*Please print out and complete this form and send along with snap shot picture and deposit (non-refundable) to PO Box 43407, Oakland, CA 94624. Modeling or Acting Workshop deposit - $25. Balance due at time of Registration on Friday, April 25th.

PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO LEAH TAYLOR (CEO OF KHAOTIK ENTERTAINMENT). PLEASE MAKE SURE TO STOP BY ALAMEDA BALLET ACADEMY AT 1402 PARK ST. ALAMEDA CA, 94501 ON FRIDAY, APRIL 25TH BETWEEN 5:30PM-8:30PM TO PAY YOUR BALANCE OR YOU MAY SEND FULL PAYMENT OF $200.

THANK YOU AND KHAOTIK ENTERTAINMENT LOOKS FORWARD TO WORKING WITH YOU.

Name:
  *
Address:
  *
Line 2:
City:
  *
Zip Code:
  *
Home Phone:
  *
Cell Phone:
Height:
  *
Weight:
  *
Email Address:
  *
Eye Color:
  *
Hair Color:
  *
Age Range:
  *
I Will Be Attending:
MODELING WORKSHOP
ACTING WORKSHOP
Females / Male
Bust/ Chest:
Waist:
Hips / Hat:
Pants Size:
Shirt Size:
Shoe Size:
Have You Had A Photoshoot Before?:
Yes
No
What Do You Plan On Getting Out Of This Workshop?:
Do You Want Modeling Or Acting To Be Your Career?:
What Are Your Other Talents?:
ARE YOU LOOKING FOR MANAGEMENT?:
Yes
No
PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO LEAH TAYLOR (CEO OF KHAOTIK ENTERTAINMENT). PLEASE MAKE SURE TO STOP BY ALAMEDA BALLET ACADEMY AT 1402 PARK ST. ALAMEDA CA, 94501 ON FRIDAY, APRIL 25TH BETWEEN 5:30PM-8:30PM TO PAY YOUR BALANCE OR YOU MAY SEND FULL PAYMENT OF $200.


THANK YOU AND KHAOTIK ENTERTAINMENT LOOKS FORWARD TO WORKING WITH YOU.
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