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APPLICATION FORM Choose the East 15 course you wish to apply for: (Please tick)

L At Loughton
PLEASE COMPLETE THIS FORM ACTING SCHOOL

IN BLOCK CAPITALS Introduction to Acting (1 week) Stage Combat (1 week)


Course: I1A11 w/c 19th July 2010 Course: SC2 w/c 2nd August 2010
Course: I2A13 w/c 2nd August 2010 Course Fee: £300
Course Fee: £290 (includes BADC examination fee)
Your details
Introduction to Acting (3 weeks) Theatre Directing (1 week)
Course: I2A3 w/c 19th July 2010 Course: TD w/c 26th July 2010
Last name:________________________________________________ PLEASE AFFIX Course Fee: £675 Course Fee: £325

First name:________________________________________________ YOUR COLOUR Acting for International Students (1 week) Contemporary Theatre (2 weeks)
Course: AIS1 w/c 19th July 2010 Course: CT w/c 19th July 2010
Address:__________________________________________________ PASSPORT SIZED
Course Fee: £290 Course Fee: £495
________________________________________________________
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Acting and Performing Shakespeare (1 week)
HERE Course: APS1 w/c 26th July 2010
________________________________________________________
Course Fee: £290 S At Southend
___________________________Post code:_____________________
African Theatre and Drumming (1 week)
Introduction to Acting (1 week)
Tel:______________________________________________________ Course: ATD1 w/c 26th July 2010
Course: I2A12 w/c 26th July 2010
Course Fee: £290
Course Fee: £290
E-mail:___________________________________________________ Audition Technique (1 week)
Stage Combat (1 week)
Course: AT1 w/c 19th July 2010
Male: Female: (Please tick as appropriate) Course: SC1 w/c 26th July 2010
Course: AT2 w/c 26th July 2010
Course Fee: £300 (includes BADC examination fee)
Course: AT3 w/c 2nd August 2010
Date of birth: _ _______________ Nationality:_____________________
Course Fee: £290 Physical Theatre (1 week)
Course: PTAC1 w/c 26th July 2010
Introduction to Acting on Camera (1 week)
Course Fee: £290
Course: I1AOC1 w/c 19th July 2010
Formal learning: (Please tick as appropriate) Course Fee: £325 Circus Skills (1 week)
Course: CS1 w/c 26th July 2010
No formal qualifications: GCSE/O-Levels: A-Levels: First Degree: Postgraduate Degree: Introduction to Technical Theatre (1 week)
Course Fee: £290
Course: ITT1 w/c July 19th
Previous training/experience: (Continue on a separate sheet if necessary) Course Fee: £275

1. Training________________________________________________________________________________

________________________________________________________________________________________ I wish to attend the above course/courses and Payment details


________________________________________________________________________________________ enclose my £100 deposit. I enclose a cheque made payable to the
University of Essex (E15 Summer Schools)
2. Other relevant experience:__________________________________________________________________
Signature: __________________________________
________________________________________________________________________________________ Overseas Payments
Date:_ _____________________________________ For overseas bank transfers please e-mail
________________________________________________________________________________________
east15@essex.ac.uk for details
Signature of Parent/Guardian
Please tick if you wish to pay by bank transfer
if applicant is under 18 years of age
Contact in case of emergency:________________________________Tel:_______________________________
__________________________________________

Do you have any medical problems or special needs? YES: NO: Please return this form with your deposit to
East 15 Acting School “Summer Courses” Hatfields, Rectory Lane, Loughton, Essex IG10 3RY
If YES please give details on a separate sheet
For payment enquiries, please contact
East 15 on +44(0)20 8508 5983 or e-mail east15@essex.ac.uk

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