2012
DRAMA SCENE ENROLMENT FORM

* indicates required fields 
  *Name:
  Gender:  Male
 Female
  *Date of birth:
  Age:
  School:
  School year & class name:
  Name of Teacher:
  *Name of Parent(s)/Carer(s):
  *Contact Address:
  *Post Code:
  *Telephone numbers:
  *Email address:
  *Health notification:
  *Session:
  Location:
  Departure Procedure:  Departing with friend (please type friend's name in Additional Information Box below)
 Departing with relative (please type which relative in Additional Information Box below)
 Escorted to After School Care
 OVER 18
 Return to school class
 Walk home unescorted
  Fee payment method:  Bank Transfer
 Posted Cheque
 Credit Card (Please contact Drama Scene Office - $3.00 fee)
 THE GAP student cash payments
  How did you hear about Drama Scene:  Enrolled in previous sessions
 Facebook
 Handout / Leaflet
 Newspaper Article
 Recommended by friend
 School Newsletter
 Twitter
  ADDITIONAL COMMENTS:
  WORKSHOP DATE OR DAYS:
  Promotional Code:

Please click on the Submit button and this form will be emailed to the Drama Scene office. Within the week an invoice will then be emailed back to you for payment and to confirm your child's place.
 

 
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