YAC Summer Workshop

Summer School Application

Please fill out the form below to apply for a place for your child. There is a £50 deposit payable to secure your child's place. We will contact you if a space is available and to take payment.

Week 1 (31st July - 4th August)

Junior (School Year 3 - 6 ) STAGE - £225

Week 1 (31st July - 4th August)

Senior ( School Year 7+ ) SCREEN - £225

Week 2 ( 21st August - 25th August )

Junior ( School Year 3 - 6 ) SCREEN - £225

Week 2 ( 21st August - 25th August)

Senior ( School Year 7 + ) STAGE - £225

Student First Name:

Student Last Name:

Age:

Parent/Guardian First name:

Parent/Guardian Last name:

Address

Home Tel Number:

Mobile Number:

Emergency Contact name:

Emergency Contact Number:

Does your child have any medical conditions we need to be aware of

Yes

If yes please give details: