STAGE COMBAT WEEKEND

NAME

First NameLast Name

E-MAIL

PHONE NUMBER

ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

To take part in the course, we will require the details of your next of kin, should we need to contact them in the event of an accident/emergency. If these details change, it is imperative you let us know.

NEXT OF KIN DETAILS:

NAME

First NameLast Name

PHONE NUMBER

PAYMENT:

£50 Deposit (deductable from the overall fee)

£150 Total

Deposit is payable immediately. The final and full balance is payable 7 days before the workshop commences.

ONCE YOU HAVE SUBMITTED A FORM, YOU WILL BE SENT PAYMENT DETAILS. PAYMENT PLANS ARE AVAILABLE OF £50 INSTALLMENTS x 3.

If you have any questions please email us on info@53two.com

NB: All prices are inclusive of VAT

Choosing YES on the below does not affect your chances of attending the course. This is simply to notify accounts of how to invoice.

Do you require a payment plan?

Available for the full weekend dates as advertised

I agree to operate within the Code of Conduct as outlined by MAP

I have the appropriate training/ qualification.

Students attending this course do so at their own risk after consideration of their own physical fitness and physical ability. The course is intense and moves safely but swiftly. Please consider this when applying. Loose or sports clothing and suitable footwear should be worn.

It is important that you declare any pre-existing medical conditions or access requirements that may involve a re-working of some exercises/moves.

Do you have any pre-existing medical conditions?

If you answered 'Yes' please give details of these conditions below.

Conditions:

Deposits are non-refundable unless 53two should cancel the class.

Please confirm you understand the above statement.

YOU MUST ENSURE YOU ARE AVAILABLE FOR THE WHOLE WEEKEND - FAILURE TO BE PRESENT WILL NOT ONLY DAMAGE YOUR LEARNING BUT ALSO YOUR SCENE PARTNERS.

MAP operate under a Code of Conduct and upon confirming above, you agree to operate under these conditions. Full Code of Conduct can be found here.

Information gathered on these forms is kept private and will not be shared with any third party. You will not be contacted unless for anything other than details on this course, unless you enrol to our mailing list.

Newsletter

Stage Combat Weekend Course