You are booking into

Creative State's Autumn Drama Workshop
Monday 15 April to Friday 19 April 2013
10am-5pm daily
Balmain Town Hall, 370 Darling St Balmain NSW 2041
$400.00 incl GST. Drama Workshop Terms and Conditions.

You opted to be invoiced to pay by internet transfer or cheque.
Creative State will invoice you via email.
Firstly, a parent or guardian must complete the following form to register for the workshop.

STUDENT DETAILS

name

First Name

Last Name

gender

female

male

age

Student is 12 to 15 years of age at the workshop commencement.

date of birth

address

mobile

home phone

PARENT-GUARDIAN DETAILS

name

First Name

Last Name

relationship to student

address - if different to student

address

mobile

home phone

payment type

This is the method of payment you will use once Creative State has invoiced you via email.

internet transfer

cheque

acceptance od Drama Workshop Terms and Conditions

I accept