Easter, Summer and Sunday Workshop Booking Form

To book a place on one or more of East 15's Easter, Summer or Sunday Workshops, please complete the form below. Alternatively, contact East 15 directly on telephone: 020 8508 5983 or e-mail: east15@essex.ac.uk

Please submit this form once per child wishing to book a place (ie to book places for two young people from the same family, the form will need to be submitted twice with different details as appropriate).

Please note that fields marked with an asterisk (*) are required and that all information will be treated as confidential and not passed onto any third parties.

About the Workshop Attendee

Name of young person/child* Date of Birth* Sex* male female Address* Town/City* County Postcode Telephone E-mail Name of parent/guardian* Contact e-mail for parent/guardian

About the Workshop

Please tick the workshop(s) you wish to attend*
Easter Summer Sunday

Please tick the course you wish to attend* Course One (8 to 10 years)

Additional Information

How did you find out about East 15's workshops? Please use this space to provide any further information: