School Holiday Drama Workshops – October 2021 The Isaac Theatre Royal and Canvas Bag Drama School Present School Holiday Drama Workshops! Monday 11th October – Tuesday 11th October 2021 School Holiday Drama Workshop Application Form Name of Student* First Last Which workshop are you applying for?* 7-10 years 11 - 13 years 14-17 years How old will the student be at the time of the workshop? (October 2021)*Please detail below if the student has any special needs (Allergies, conditions, treatments, etc:)*Emergency Contact Details:Name* First Last Relationship to student:* Contact phone number*Address* Street Address Address Line 2 City ZIP / Postal Code Email* Parent / Guardian AuthorisationI consent to Canvas Bag and the Isaac Theatre Royal using any photos/video/artwork created during the workshops to be used in any Canvas Bag or Isaac Theatre Royal promotional materials in both print and electronic media, such as websites and social media. I authorise I do not authorise Lunch OptionsStudents will have a 30 minute supervised lunch break, so why not take the hassle out and pre-purchase their lunch pack for only $15 per day! (Tick either first day, second day or both days) First day Second day Both days Please detail below if the student has any dietary requirements: Lunches & Drink optionsLunches will be prepared to suit all dietary requirements and will consist of a substantial savory item, a piece of fresh fruit, a sweet treat and your choice of drink (Bottled Water, Charlies orange juice pouch or Charlies blackcurrant and apple juice pouch - please tick below) Bottled Water Orange juice Blackcurrant and apple juice Payment DetailsPayment to be made into Theatre Royal Charitable Foundation bank account: ASB: 12-3191-0023-507-53 Ref: OctDramaPlease NoteIf a cancellation needs to be made, refunds will only be processed if the space can be filled by another child. There will be no refunds for cancellations after Thursday 7th October.