Enrolment -

ENROL NOW FOR JANUARY 2012
Workshop 1 is booked out - please enrol in workshop 2

Enrolment instructions.

1. Please complete the enrolment form below.

2. Once the enrolment form is received by Film Adventures we will e-mail you payment instructions to be made by EFT or Cheque.

3. The Film Adventures workshop fee is $350 per child. A deposit of $100 will ensure your booking, full payment should be made one week prior to the workshop.

4. Before the workshop all participants will be e-mailed an information pack.

Note: Press the submit button to send your enrolment form. You will be presented with a confirmation page saying, " Your form has been submitted." Uncompleted forms will highlight required fields in red.

For more information or questions please call,

Paula Lay or Mischa Baka: 0412 952 786, 0401 493 088

Email: info@filmadventures.com.au

Film Adventures Enrolment Form January 2012

Please select the Film Adventures workshop you would like to enrol in *

FULL - 1. Monday 9th - Thursday 12th Jan, 10 am - 4 pm. Red Carpet Screening: Friday 13th Jan, 7 pm. 2. Monday 16th - Thursday 19th Jan, 10 am - 4 pm. Red Carpet Screening: Friday 20th Jan, 7 pm.

Child's name *

First

Last

Age *

School grade *

Name of Parent / Guardians *

First

Last

First

Last

Contact Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Emergency Contact *

Email *

Does your child suffer from any allergies? If yes please provide details. *

Please select method of payment and we will e-mail you with payment instructions. *

Cheque/Money Order Direct Deposit