THE REPULSE BAY CLUB

ACT.SING.DANCE.

AUTUMN TERM 2019 - COURSES OPEN TO ALl!

The Repulse Bay Club

Student Name *

Student Name

First Name

Last Name

Student Date of Birth *

dd/mm/yy

School Attended *

Student School Grade *

Course *

Wednesday's, Public Speaking, Grades 3-5pm, 4:30-5:30pm Friday, Young Cubs Drama, 3-4 yrs, 3:45-4:30pm Friday, Young Cubs Drama 5-6 yrs, 4:30-5:30pm Friday, Acting, 7-10 yrs, 4:30-5:30pm Saturday, LAMDA Acting, 14yrs+, 10-11am Saturday, Young Cubs Musical Theatre, 4-6 yrs, 10-11am Saturday, Young Cubs Dance, 4-6 yrs, 11am-12pm Saturday, The Academy Associates, 7-10yrs, 11am-12:30pm Saturday, The Academy, 7-10yrs, 12:30-3:30pm Saturday, The Academy, 11-13yrs, 12:30-3:30pm Saturday, The Academy, 14 + yrs, 12:30-3:30pm

Parent Name *

Parent Name

First Name

Last Name

Email *

Phone Number *

Travel Arrangements - Pick Up! *

Please let us know how your child will be travelling home after class

Emergency Contact *

Name, Relationship & Phone Number

Declaration *

Please let us know if your child has any medical conditions, allergies or circumstances that we should be aware of, this information will be kept in strict confidence.