2010
DRAMA SCENE ENROLMENT FORM
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indicates required fields
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Name:
Gender:
Male
Female
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Date of birth:
Age:
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School:
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School year & class name:
Name of Teacher:
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Name of Parent(s)/Carer(s):
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Postal Address:
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Post Code:
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Telephone numbers:
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Email address:
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Health notification:
No known condition
Asthma
Bandaid allergy
Nut allergy
Other condition
Special needs
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Session:
School Holidays (Please write date or days in box below)
Crown Street P.S. - Thursdays Yrs K&1
Crown Street P.S. - Thursdays Yrs 2 -6
Darlington P.S 3-6, 3:00pm - 4:10pm Tuesdays
Darlington P.S. - after school K-2, 3:00pm - 4:10pm Tuesdays
Darlington P.S. - After Care Drama K-2, 4:15pm - 5:15pm Tuesdays
Forest Lodge K&1 - Mondays After School
Forest Lodge 2-6 - Mondays After School
Glenmore Road - Friday yrs K-2
Glenmore Road - Friday yrs 3-6
Our Lady Queen Of Peace - Thurs K&1 Before School
Our Lady Queen Of Peace - Thurs 2-6 Lunchtimes
Paddington - Thursday After School
St Brendan's - Annandale
Taverners Hill/Petersham - yr K
Taverners Hill/Petersham - yrs 1&2
Taverners Hill/Petersham - yrs 3-6
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Location:
Annandale - St Brendan's
Crown Street Public School
Darlington Public School
Forest Lodge Public School
Gladesville - Our Lady Of Peace Primary School
Glenmore Rd P.S. - Paddington
Paddington - Paddington P.S.
Petersham - Taverners Hill
School Holiday Scene
Studio - On Site
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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
Return to school class
Walk home unescorted
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Fee payment method:
Bank Transfer
Posted Cheque
Credit Card (Please contact Drama Scene Office - $3.00 fee)
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How did you hear about Drama Scene:
Enrolled in previous sessions
Print media advertisement
Recommended by friend
School Newsletter
Web browsing
ADDITIONAL COMMENTS:
SCHOOL HOLIDAY WORKSHOP DATE OR DAYS:
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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