The Fever Kinetic: Storyteller's Guide to Impro Application Form
Please find below the application form for our Impro Workshop, this should take around 10-20 minutes to complete. You must be 16 or over at the time of the course taking place to be eligible to participate.
Full Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
Please share with us your relevant experience and your current practice:
*
Why are you wanting to participate in The Storyteller's Guide to Impro:
*
Do you have any accessibility requirements/injuries we should know about?
*
What rate would you like to apply for?
*
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Regular Rate
250.00
MYR
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Item subtotal:
0.00
MYR
Concession Rate
220.00
MYR
Quantity
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Item subtotal:
0.00
MYR
Bursary
Free
MYR
Quantity
1
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
If you have selected concession or bursary rate, please tell us why you have selected this. If you did not select concession or bursary, please write 'Nil'. If you have selected a bursary, please note that we can only confirm your place on the 1st of December
*
Please note, we are only able to offer 2 bursary places per course we run. If you have selected bursary but are not successful in receiving that place, we will consider you instead for the concession rate. Bursaries and Concession are available to those on welfare benefits or are current students at university. However, if cost is a barrier to participating, contact us at thefeverkinetic.com and we can discuss payment options.
Note:
Before submitting this form, please take the time to fill out our Equal Opportunities Form (https://shorturl.at/VlSU3). This is anonymous and will in no way affect your application but is crucial for us. Applications will be on a rolling basis and will close once we reach the maximum capacity for the course. Shall you still be interested hereinafter, we will be able put you on the waitlist.
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