Register 1Applicant Information2Previous Experience3Declarations / Waiver Name* First Last Email* Phone*Please include country code (e.g. +1 for USA or +61 for Australia; +1 555 555 5555)Address* Street Address Suite / Apt City State ZIP Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country ResuméAccepted file types: doc, docx, xlsx, xls, pdf, Max. file size: 7 MB.Neither your pictures, resume nor personal information will be shared or used for marketing purposes without your permission.HeadshotAccepted file types: jpg, png, pdf, tiff, gif, jpeg, Max. file size: 7 MB.Please upload your most recent headshot Neither your pictures, resume nor personal information will be shared or used for marketing purposes without your permission.Photo of Actor on SetAccepted file types: jpg, png, pdf, tiff, gif, jpeg, Max. file size: 7 MB.Please upload the most recent photo of you on set Neither your pictures, resume nor personal information will be shared or used for marketing purposes without your permission.Personal PhotoAccepted file types: jpg, png, pdf, tiff, gif, jpeg, Max. file size: 7 MB.Please upload a recent personal photo Neither your pictures, resume nor personal information will be shared or used for marketing purposes without your permission. Have you ever, or are you currently attending actor training in Los Angeles?* Yes No Have you ever studied at Lesly Kahn & Company?* Yes No Have you worked with Kristina Sexton in the past?* Yes No Declaration of Previous Professional EngagementI make this declaration voluntarily and, if called and sworn, I could and would testify competently to the following facts: From time-to-time I studied acting with instructor Kristina Sexton at Lesly Kahn & Company (the “Studio”). Upon learning that Ms. Sexton had left the Studio, I contacted her to see if she would be willing to continue to work with me on my acting. At no time did Ms. Sexton contact me to solicit my business or to encourage me to stop taking classes at the Studio. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Digital Signature* First Last Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Declaration of Engagement with Lesly Kahn & CompanyI make this declaration voluntarily and, if called and sworn, I could and would testify competently to the following facts: From time-to-time I studied acting at Lesly Kahn & Company (the “Studio”). When I learned that Ms. Sexton had left the Studio, I contacted her to see if she would be willing to continue to work with me on my acting. At no time did Ms. Sexton contact me to solicit my business or to encourage me to stop taking classes at the Studio. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.Digital Signature* First Last Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Declaration of Previous Acting TrainingI make this declaration voluntarily and, if called and sworn, I could and would testify competently to the following facts. At no time did Kristina Sexton contact me to solicit my business or to encourage me to stop taking classes or coaching at any other Acting Studio. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Digital Signature* First Last Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Agreement of Terms and Conditions and Liability Waiver* I have read and agree to the Liability Waiver and the website Terms and Conditions. CommentsThis field is for validation purposes and should be left unchanged.