DIGITAL SIGNATURE AND DATE

NAME:

ADDRESS:
(Include city, state, zip)

PHONE NUMBER:

EMAIL ADDRESS:

Hobbies:


Ambition for the Future:

Runway Modeling Event Fee
(Required):

ADDT'L OPPORTUNITY EVENTS   
    
Cover Model ♦   Portfolio ♦ Outfit of
Choice ♦ Commercial Actor ♦           
Monologue Actor ♦ Talent               

Addt'l Opportunity Event:  $25 ea.

Talent Only Option:
$150

ASD Black Tank Top(s)
Enter Size XS, S, M, L, XL

______ x ______ @ $15 ea.  =


LOOK BOOK AD Pages
(email heather@ryantalent.com for
additional information)      
 _____ x _____ @ $100 =   

Admission Passes $10 ea.
______ x ______ @ $10 =
will be $15 at the door

DISCOUNTS

SUPER EARLY BIRD DISCOUNT:  
- $100 IF REGISTERED
BY MAY 1ST, 2010

EARLY BIRD ENTRY SPECIAL
REGISTER AND PAY IN FULL BY
JUNE 15TH, 2010 AND ENTER
EVERYTHING FOR $500 TOTAL

TOTAL

SIBLING DISCOUNT (if applicable)
Total divided by .50


DEPOSIT

BALANCE DUE
Any balance must be paid
in cash at registration.
Registration Form
Submit your deposit electronically
American Star Discovery only accepts online payments via Paypal!