APPLICATION FORM

CENTRE STAGE DANCE AND DRAMA

May Half -Term Theatre Workshop Week 2008

Monday, May 26^th - Friday, May 30^th

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Print off, complete & send this form with full payment to address below

Name(s) of Child/Children .……………………………….…………………………

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Date(s) of Birth  ………………………………………………..…………….…………………….…..……

Parent/Guardian’s Name ………………………………………………………………..………….

Address……………………………………………………...…………….…........

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Tel No: ……………………………..…….…………. Mobile: …………………………….………

E-mail: ….………………………………………………………………..

NO EXPERIENCE IS NECESSARY – BUT PLEASE STATE IF YOUR CHILD HAS A SPECIAL INTEREST OR SKILL.

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PLEASE ADVISE US OF ANY MEDICAL, DIETARY, or PHYSICAL CONDITIONS

or FAMILY SITUATIONS that the tutors should know about. This will remain confidential.

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I enclose full payment for each child above: TOTAL £……………………………

Cheques payable to SUKI TURNER + applicant(s) name(s) on the back.

Your Name (Sign & print).

…………………………………………………………………………………………………………………………………

Relationship to Applicant(s) …………………………..…………………………………………..

Before April 12th 2008, send this form with payment to:

Suki Turner, Centre Stage Dance and Drama,

5 Downside Court, Downs Lane, Leatherhead KT22 8JW