PAMA AGENCY

The Professional Academy of Modeling and Acting

708 Andrew Jackson Way, Huntsville, AL 35801 (256)536-5200 Fax (256)536-5201

REGISTRATION FORM

STUDENT NAME:

AGE:

ADDRESS:

CITY / STATE / ZIP:

PHONE:

WORK:

CELL:

WORKSHOP:

Teen/Adult, PreTeen, Preschool, or Acting

For Office Use Only: