APPLICATION FORMPrivate Lessons Name * First Name Last Name Email * Age * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Please select which lessons you would like to attend. * Orchestral Conducting Vocal Coaching Song Performance Piano Acting Have you attended ACT education programs? * Yes No What is your previous experience? * What are your short-term goals? * What are your long-term goals? * What did you want to work on in this lesson? * Do you have an accompaniment or track for your lesson? * Yes No * By checking this box I represent, warrant, and covenant (i) that I am the individual designated next to my respective signature; (ii) that I am competent and authorized to execute and deliver this waiver on my own behalf, and if the student is a minor, on behalf of the student; and (iii) that this waiver is being signed voluntarily, without coercion or duress, and with full understanding of its terms and effects. Thank you for your inquiry! You will receive a reply from someone on the A.C.T. of CT team within 48 hours.
