Booking FormSummer 2017

Please complete and return this page and make arrangements for payment from the options listed below.Those who are paying electronically (see options below) can email a copy of this information to and those who are sending a cheque can post it along with this form to:Emma’s Academy of Dance & Drama, 3 Tavern Court, 95 New Kent Road, London SE1 6RY. Dance Train is part of ukdancenetwork.co.uk, a trading name of Emma’s Academy of Dance & Drama.

Name: ______Date of birth: ______

Address: ______

______Postcode: ______

Best Contact Telephone No: ______

Email: ______

Any health issues which may affect taking part in this course: ______

______

Dance background and any other relevant qualifications / experience: ______

______

______

______

______(please continue on a seperate sheet if necessary)

Please tick as appropriate:

I am applying for the London two day intensive course on 1st / 2nd July 2017 (Option 1)_____

I am applying for the private tuition pack of six hours plus mock exam (Option 3)_____

If booking the two day intensive course:

I am paying in full now (applying discountif paid by 8th May)_____

OR

I am paying half nowand will pay the balance by the deadline of 21stJune_____

Please note that payments are non transferable and will not be refunded once places are booked. Please ensure you have read the course pack fully before committing to a place on the course.

Upon receipt of payment you will be contacted via email to confirm your place. This is subject to the course being subscribed to by a minimum of six participants.

Arrangements for booking and paying for the exam will be arranged separately. Payments should be made as soon as possible in order to guarantee a place and balances paid by the agreed date. If there are any queries please contact via the website as soon as possible.

There are three ways to pay, please choose which is more convenient for you.

1, Online bank transfer. If you have internet or telephone banking, please transfer the appropriate amount (giving your surname as the reference) to the details below and then email the transaction details to

Details: Sort Code - 60-24-77, Account Number – 18070728,

Account Name - Emma’s Academy of Dance & Drama.

2, Cheque. Please post a cheque along with this form to the address at the top of this page. Please make cheques payable to Emma’s Academy of Dance & Drama.Note – our address changed in January 2013 so please ensure you are using the current one at the top of the form (3 Tavern Court) and not the old one (28 Ebbett Court) that may have been given on older versions of this form.

3, Paypal. Use your credit or debit card to pay via Paypal – email to request a Paypal invoice. Please note that a4% transaction fee will apply due to charges levied.