New Student Application

Welcome! Thank you for your interest in studying at Cynthia Bain's Young Actor Studio! Please answer the questions below so that we may better serve you. 


The information you provide will be kept confidential and will help us to help you best!


Please fill out 1 application per student.


Questions? We are here for you! Contact us at: or call (818) 760-0060

Student Information
Student's Gender
Parent Information

(Legal Adult Students Skip This Section)


This Section Helps Us Get to Know You Better!

 (Please let us know whom to thank for their recommendation!)

Preferred Method of Contact

(Weekly group lessons, private coaching, private lessons, career consultations, semi private group lessons, skype coaching, skype lessons, etc.)

Which Scene Study Class with Cynthia are you most interested in?
Which waitlist would you like to be added to?
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Refund Policy

All tuition payments and deposits are non-refundable and non-transferrable. There are no refunds or transfers of any kind, including late arrivals, early withdrawals, non-arrivals, your child booking a professional job, homesickness or dismissal. Fees do not include outside medical care or prescriptions, transportation, to and from camp, or housing while in the Los Angeles area.

Parent Agreement
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★We are fully Bonded: #CA802275

★Everyone at #CBYAS holds the legally required Child Performer Services Permit (CPS)

We hope to see you in the studio soon!

© 2000-2020 by #CBYAS

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