(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 for the course indicated above.

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): ______________

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 ____________________________________