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DRAMA FOR KIDS WA Enrolment for SEPTEMBER HOLIDAY PROGRAM 2018 Please complete CLEARLY the enrolment form and return as an email attachment to [email protected] or post to: Alan Blackwood. Drama For Kids WA 9 / 7 Ninth Avenue, Maylands, Perth WA 6051 Childs Name _________________________________________________ _______________ Age ________________ Gender ________________ Grade at school______________ School attended _________________________________________________ ___________ Home Address _________________________________________________ ______________________________ _________________________________________________ ______________________________ Telephone ___________________________Mobile________________ _______________ Email:___________________________________________ ____________________________ Emergency Contact Telephone number(s) and name of contact.

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DRAMA FOR KIDS WA

Enrolment for SEPTEMBER HOLIDAY PROGRAM 2018

Please complete CLEARLY the enrolment form and return as an email attachment to [email protected] or post to:

Alan Blackwood. Drama For Kids WA 9 / 7 Ninth Avenue, Maylands, Perth WA 6051

Childs Name ________________________________________________________________

Age ________________ Gender ________________ Grade at school______________

School attended ____________________________________________________________

Home Address _______________________________________________________________________________

_______________________________________________________________________________

Telephone ___________________________Mobile_______________________________

Email:_______________________________________________________________________

Emergency Contact Telephone number(s) and name of contact. _______________________________________________________________________________

________________________________________________________________________________

IMPORTANT INFORMATION.Please alert Alan to any medical condition or allergy that he should be made aware of.

_______________________________________________________________________________

PLEASE SEE REVERSE FOR METHOD OF PAYMENT INFORMATION

mailto:[email protected]

How did you hear about Drama For Kids WA ?Website ☐ Facebook ☐ Newspaper ☐

Word of mouth☐ Poster ☐ Via School☐A Frame/Sandwich board ☐ Other☐

PAYMENT METHODS.IMPORTANT: PLEASE DO NOT PAY FOR YOUR CHILDS COURSE

UNTIL YOU HAVE MADE A PROVISIONAL BOOKING ON THE PHONE WITH ALAN.

Please state clearly the child’s name that payment is being made for. Fee $99

(*EARLY BIRD PAYMENT ONLY = $89 if payment received prior to end of Term)

Tick course you are enrolling your child for:-

MOUNT LAWLEY ☐ Program One 25th/26th Sept

MOUNT LAWLEY ☐ Program Two 27th/28th Sept

1. ELECTRONIC BANK TRANSFER:ACCOUNT NAME: Drama For Kids WA

BSB 06 6155 ACOUNT NUMBER. 10412874( commonwealth bank)

2. CREDIT CARD – MASTERCARD/VISA VIA TELEPHONE 9271 9128

3. CHEQUE (Drama For Kids WA) - posted to

Drama For Kids,9 / 7 Ninth Avenue,

Maylands,

Page 3: · Web viewHow did you hear about Drama For Kids . WA ? Website ☐ Facebook ☐ Newspaper ☐ Word of mouth☐ Poster ☐ Via School☐ A Frame/Sandwich board ☐ Other☐ PAYMENT

Perth. WA 6051

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