Audit Submission Form | Broken Mirror Studio

Broken Mirror Audit Form

First name

Last name

Email

Phone

Preferred Method of Communicaton?

Are you over 18?

Yes

No

Have you studied with Broken Mirror before?

Yes

No

If so, what and when did you study with us?

Which Class do you wish to join

Sundays (5-8pm)

Mondays (6-9pm)

Whichever is Available

When are you hoping to start taking classes?

Immediately

Within the next month or two

Sometime in the future

Our on-going scene study is intended for folks who can dedicate to class for a minimum of two months, but hopefully longer, do you foresee that being an issue?

Building a dedicated practice is what I'm excited about!

I'm here for it but will occasionally have to miss a class here and there

Happy to dedicate to 2 months and then reasses how I'm feeling

I can't guarantee my presence for that long.

(Optional) If acting was a real person, in your real life, what is your current relationship to acting?