BEST SHOT YOUTH THEATRE
FAME

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 the BESTSHOT Summer School production of FAME. 
Dates: 16th – 21st August 2010
Please note: Best Shot reserves the right to change the advertised course content.

Cheques / Postal Orders should be made payable to: Best Shot 

I enclose £_____ as a fee (£195)/deposit (£95) 

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.
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 ____________________________________