THE REPULSE BAY CLUB

TAKE CENTRESTAGE

Repulse Bay Club Courses

Student Name

First Name

Last Name

School Attended

Student Date of Birth

Gender

Course

Parent Name

First Name

Last Name

Parent Phone Number

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.

FEES: Public Speaking: $320 per class | Young Cubs Musical Theatre: 1hr class $300 | The Drama Club: 1 hr class $300 | The Academy Associates: 1hr 30mins $420

*Please note there is a $30 non-member fee per week