Green Room Acting Classes (October 2025)

This is the credit card authorization form to register for the Green Room Acting Studio. Our instructors are well-known casting directors and acting coaches from LA, NY, Atlanta, and Miami.

Our acting classes are ongoing classes. You may cancel anytime, but you must complete the online cancellation form to release your seat by the 20th of the month before the first.

The asterisk (*) mark next to the name below identifies our casting directors.

Date

First Name

Last Name

Talent's Name

The software system we use requires this info for class management. This info is for internal purposes only!

Talent's Current Age:

Date of Birth: (MM/DD/YYYY

Talent's Height

Please let us know if you have any of the following, so we can best serve you.

(Select ALL that apply)

ADHD
Asperger Syndrome
Neurodivergent
Dyslexia
None of the above
Would rather not answer

Phone

Talent's Headshot

Browse (no files uploaded)

Billing Address

Address Line 1

Address Line 2

City

Country

Select

State/Province

Select

Zip Code

By completing this form, I am approving the Green Room Acting Studio to set up a Paytrace account for the talent listed on this form and to charge appropriately for the services listed below.

Monthly Acting Classes: I understand that I can cancel the monthly on-going acting classes at any time by notifying the Green Room Acting Studio, by completing the online Cancellation Form on or before Midnight on the 20th of the month, prior the first of the month.

Credit Card Number

Credit Card Expiration Date

Security Code

Signature

I am authorizing my credit card to be charged for the items above.

Short Answer

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Thank you for Registering

Thank you for completing the credit card authorization form.

The final step is to sign the studio policies and procedures form. To make it easy, we are including a link:

https://www.greenroomactingstudio.com/form/policies-procedures

Please note that, like schools, we have limited spots in each class, and we reserve a seat for you in the primary class for which you are registered. If you cannot make a class, out of respect for the instructor, please notify Deidra and also the instructor. We do not offer make-up classes; however, if you have an emergency, please don't hesitate to contact me to discuss.

If you have any further questions, please don't hesitate to contact us.

Thanks,

Diane Marie
561-840-5030

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