BEST SHOT YOUTH THEATRE APPLICATION FORM (Please use a separate form for each course and for each student) Applicant's Name: ___________________________________ School Year: _______ Date of birth: ____/____/____ Address: ____________________________________________________ ___________________________________________________________ ___________________________________________________________ Post Code: _________________________________ Telephone: _________________________________ e-mail: if you have one please include it as it is used for confirmation of courses ____________________________________ I am applying for WEEKLY CLASSES starting in Autumn Term / Spring Term / Summer Term (please circle as appropraite) I am applying for a HOLIDAY COURSE in which case please state course title, dates and whether ACTING or STAGE MANAGEMENT Please note: Best Shot reserves the right to change the advertised course content. COURSE NAME: ______________________________________________________________ DATES: ______________________________________________ Cheques / Postal Orders should be made payable to: Best Shot I enclose £_____ as a fee/deposit. Signed: _________________________________________ Please also print: ____________________ (Parent/Guardian if applicant is under 18) Please also print the name which appears on your cheque (if different from above): ______________ Date:_________________________________ FOR LONDON COURSES please post the completed application and payment to: 85 Loveday Road, London, W13 9JU FOR DORSET COURSES please post the completed application and payment to: Best Shot, Grove House, Bradford Peverell, DT2 9SA Please note: no courses are held at these addresses nor can they receive deliveries by hand How did you first hear about Best Shot? Internet search / local press / library / school / local press / word of mouth / other: please state ____________________________________