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2012
Clint Vaught Young Actors' Institute Application June11 - June 22 9:30 am to 5:00 pm Please type or print legibly. Name: _______________________________________________________Gender:_________ Birthdate: _____________ Address and Zip Code: _______________________________________________________________________________ Parent/Guardian Names: ______________________________________________________________________________ Parent/Guardian Daytime Phone Number:_________________________________________________________________ Parent/Guardian Evening Phone Number:_________________________________________________________________ Parent/Guardian E-mail Address:_______________________________________________________________________ Name(s) and Number(s) for emergency contact:____________________________________________________________ School/Grade Attended for Spring 2012:__________________________________________________________________ Has student attended YAI before? (circle) Yes No When? ____________________________________________________ Has student attended any similar program(s)? (circle) Yes No If so, Where and when _________________________________________________________________________________________________ Prior training or performance experience is not necessary. The Young Actors Institute is designed to develop each student from an individual approach . Please list the student's performance background (Examples: no experience, or speech club, or 4th grade school play supporting role, etc.) NOTE: If you need additional space, submit an accompanying resume/info sheet _________________________________________________________________________________________________ _________________________________________________________________________________________________ Please return application by U.S. Mail or personal delivery to: Young Actors Institute Youth Performing Arts School 1517 South Second Street Louisville, KY 40208 Total cost of YAI 2012 is $282 for the 75-hour workshop. A minimum $141 deposit must accompany each application (non-refundable after May 18). Make check(s) and/or money orders payable to YAI. A confirmation will soon be sent to you, normally within 2 to 3 weeks, and a detailed instruction sheet will be sent to you in early May. Please email Todd.Parker2@jefferson.kyschools.us or call 502-485-6392 if you have any questions Parent / Guardian question: Do you wish to share information on carpooling? _______________________________________ |