INTENSIVE SUMMER 2010  DRAMA  COURSE REGISTRATION FORM

Please fill in CAPITAL LETTERS                                                                                                         * Delete where necessary

Surname (Mr Mrs. Ms.) *

First name (s):

Date of birth:

Nationality :

First language:

Home Address Abroad:

City:

post code:

country:

EMAIL:

Tel:                                                         Fax:

HOME  Address  in UK:

City:                                                                                                                                          post code:

main contact / next-of-kin  tel:

Mobile:

COURSE TITLE

COURSE REF.

Please tick √

FROM

UNTIL

1 COURSE FEES

2 COURSE FEES

3 COURSE FEES

AMOUNT TO BE PAID

Acting & Improvisation

ISD1

28.06.10

16.07.10

£  875

£ 1575

£ 2230

£

Acting & Comedy

ISD2

19.07.10

06.08.10

£  875

£ 1575

£ 2230

£

Acting & Screen Acting

ISD3

09.08.10

27.08.10

£  875

£ 1575

£ 2230

£

RESIDENTIAL Acting & Improvisation SINGLE ROOM

ISD1/A1

27.06.10

17.07.10

£  1510 *

£ 2700 *

£ 3800 *

£

RESIDENTIAL Acting & Improvisation SHARED ROOM

ISD1/A2

27.06.08

17.07.10

£  1250 *

£ 2200 *

£ 3300 *

£

RESIDENTIAL Acting & Comedy SINGLE ROOM

ISD2/A1

18.07.10

07.08.10

£  1510 *

£ 2700 *

£ 3800 *

£

RESIDENTIAL Acting & Comedy SHARED ROOM

ISD2/A2

18.07.08

07.08.10

£  1250 *

£ 2200 *

£ 3250 *

£

RESIDENTIAL Acting & Screen Acting SINGLE ROOM

ISD3/A1

08.08.10

28.08.10

£  1510 *

£ 2700 *

£ 3800 *

£

RESIDENTIAL Acting & Screen Acting  SHARED ROOM

ISD3/A2

10.08.08

30.08.08

£  1250 *

£ 2200 *

£ 3300 *

£

EFL-ENGLISH LANGUAGE

EFL

£  180

£ 325

£ 450

£

* INCLUSIVE OF £ 50 FULLY REFUNDABLE DEPOSIT (IF NO DAMAGE HAS BEEN CAUSED AT THE RESIDENCE)

TOTAL COST

£

Less non-refundable deposit on Registration

£       -        200

Total remaining balance (payable minimum  6 weeks prior to the start of the course)

£

I am enclosing a non-refundable deposit of £200 to secure my place and will pay the balance owed to you at least 6 weeks before the start of my course by

cheque / Direct Bank Transfer *, or I am enclosing a cheque / making a Direct Bank Transfer for the total balance of my Tuition.                             

*  Delete where necessary 

I have read and I accept the conditions of enrolment and will be responsible for the full payment of the fees.

Signature                                                                                                                                              Date

 (Of parent OR guardian if under 18)  Parents/Guardians must also enclose a separate written consent with their signature certified by a local public notary or other official

and clearly state their full contact details

Make all cheques in UK £ only, payable to: “LONDON DRAMA SCHOOL”, and send to: LONDON DRAMA SCHOOL, 30 Brondesbury Park, LONDON NW6 7DN, UK

or Pay by direct bank transfer to LLOYDS – TSB Bank, - Willesden Green Branch, 1 Walm Lane, LONDON NW2 5SN. UK:

Account’s Name: LONDON DRAMA SCHOOL

Account No:  01234650

Bank Sorting Code: 30-99-64

IBAN:  GB13loyd30996401234650 - Swiftcode:  LoyDGB2L

   For Office Use Only    

      Registration No