Class of 2025 Registration

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Complete if you plan on graduating HS in 2025 or will be entering your 1st year/transfer year in Fall of 2025. This is for the audition cycle that begins in Fall 2024.

Applicant First and Last Name *

Student email address *

Applicant Pronouns (if you'd like to share)

Applicant Location (general location is fine if you do not want to provide the town) *

Approximate CURRENT Level (just to gage - I will ultimately decide where you are once we get started!) *

Brand new to this and have not performed much, 0-5 shows approximately

Green - performed in a few shows and have taken occasional voice/acting lessons

Intermediate - performed in school shows & local community theatres for a while. I actively take voice/acting lessons.

Advanced - performed for many years, take regular weekly classes in voice/acting. I highly excel in this field and know my abilities are quite competitive.

Applicant Status *

Senior Fall 2024/Class of 2025

Taking GAP YEAR

Transfer student

Other (like graduating early - we can discuss your situation when we get started)

Adult Contact Name & Relationship (if applicant is under 18) write N/A if 18+ *

Adult Email (triple check spelling) write N/A if 18+ *

Adult Contact Email (write N/A if 18+) *

Please provide 1 cell phone number for anyone - student or family member (emergencies & in case email address becomes full/bounces back) *

Select a Program (see website) *

HEADSTART PLUS - I understand I will need to be in NJ for filming. If I'd like to film in NYC that will require an additional $500-$800 fee.

HEADSTART

CORE PLUS - I understand I will be need to be in NJ for filming. If I'd like to film in NYC that will require an additional $500-$800 fee.

CORE

UNLIMITED - unlimited coaching sessions, every single cost included. I understand I will need to be in NJ for filming. If I'd like to film in NYC that requires an additional $500-$800.

Unsure - I'd like to connect with Julie to make an assessment.

Upon completion of this form, you will receive next steps via email. Payment is NON-REFUNDABLE for any reason. I understand I am not to enroll in any other college audition prep coaching, auditions, masterclasses, etc and if I'd like to, I will seek permission. Julie Galorenzo Coaching reserves the right to decline permission and can terminate work with the student if this is not adhered to. *

I understand.

Required

How did you hear about this program? *

I have an existing relationship with Julie

Referral from a friend/family member/group

Social Media (tiktok or instagram)

Other

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