Claire Tighe TheatreWorx

                            Summer Camp 2009

           Application Form

 

Name

Address

 

 

 

 

 

Date of Birth

 

Home Phone

 

Mobile Phone

 

Parents Name

 

E-mail address

 

 

I am interested in                   

Camp 1

q

 

Camp 2

q
 

 

Joining TheatreWorX

q

 

Please advise any illness, conditions or disorders
students may have:

Return this application form & fee to:
TheatreWorX
5 The Avenue,
St. Wolstons Abbey
Celbridge
Co. Kildare

 

Closing Date 1 July 2009    |   Cost: This 5 day summer camp costs €110 per student.

Family discount of 10% available.

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