Back to Broadway Musical Theatre Schools – Application Form

‘Back to Broadway…..the Stage Show’ was formed in 2007 and since then it has toured the UK and Mexico. ‘Back to Broadway...in Cabaret’, has become a major name in the world of corporate events. The stage shows and summer schools have raised funds for charities worldwide and we are proud of our association with UK Children’s Hospices. A fun week of learning is guaranteed in all aspects of musical theatre including dance, drama and singing. Tuition will be integrated in the rehearsals of ‘Hairspray’.

Please do contact us if you have any questions. Tel: 01297 553602

This Form must be completed BEFORE making payment on the secure PAYPAL page.

IF you wish to pay by cheque, please complete the form > Click on Submit and then send the cheque, payable to Back to Broadway Ltd, to:

Back to Broadway Ltd
55 Burnards Field Road
Colyton
EX 24 6 PE

School Area:

Applicant's Name: Age: DOB:

Sibling's Name's (if attending): Age: DOB:

Parent / Guardian Name:

Relationship to Applicant:

Full Address:

Post Code:

Home Telephone: Mobile:

Email Address:

Emergency Contact Name: Telephone:

Any Medical Conditions?:

Permission to Appear in Term Video:

Permission to Appear in Web photos:

T–shirt sizing. Ch: chest. le: length. (Tshirt measured flat across front, under arms, and from back neck to hem) SY: ch.15’’ le.19’’ MY: ch.16.5’’ le. 21’’ LY: ch.18’’ le.22’’ S: ch.18’’ le.26’’ M: ch.19’’ le.27.5’’ L: ch.22’’ le.29’’

T– Shirt Size required:
T– Shirt Sibling Size (optional):

FEES: COURSE FEE PER STUDENT: £130 incl. T–shirt.

FEES FOR 2009 STUDENTS: £120 incl. T–shirt.

I agree that you may email from time to time with further relevant information of upcoming promotions and events.

DEPOSIT PER STUDENT: £30 NON-RETURNABLE. If Back to Broadway cancels the school, your deposit will be returned.

BALANCE DUE: ONE WEEK PRIOR TO COMMENCEMENT OF COURSE.

PARENT/GUARDIAN DECLARATION:

I agree to pay the balance of £100 (£90 for 2009 students) one week prior to the commencement of the course. I understand that Back to Broadway reserves the right to exclude students whose behaviour is disruptive. I understand that my child(ren) will attend between the hours stated for your school There is no provision for care outside these hours.

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