theatrix

Online booking form



at the Abbey Theatre

Name of student: Age
Name of parent / guardian:

Contact details of parent/guardian

Address:
Postcode:
Phone:
Mobile:
Email:

Medical conditions / special requirements

Please give details of student's medical condition or personal requirements, eg allergic reactions of which the workshop leader should be aware.

Emergency contact

Please give a phone number (and name of contact if not the parent / guardian) for the workshop leader to call in case of an emergency arising during the workshop period.

Emergency number (and name
if not parent/guardian):

Consent of parent / guardian

I wish to reserve a workshop place for my child. S/he is at least 8 years of age.

I consent to my son’s / daughter’s participation in the above WORKSHOP, for which the fee is £90.00, payable in advance by cheque

Comments*:
(*optional)
An e-mail will be sent from theatrix in due course confirming your reservation with an invoice requesting payment to complete your booking.