Perry Studio - Enrolment Form - ADULT Name * First Name Last Name Email * Address * Mobile * Date of Birth MM DD YYYY Height For casting opportunities Medical Concerns ? No Yes If YES please provide details How did you hear about Perry Studio? Primary reason for attending Acting classes? Media Authorisation Release and Consent * Perry Studio has my permission to use photos and video of me in classes. I understand that the images may be used in print publications, online publications, presentations, websites and social media. I also understand that no fee shall be payable to me by reason of such use. I confirm that this consent is voluntary and can be withdrawn at any time by providing written notice to Perry Studio. Yes No Thank you! * required