Places are now available. Contact email: info@centrestageireland.com

ENROLLMENT FORM

Student Name:

Full Address:

Class CODE

Class Time:

DOB:

Email:

Parent/Guardian Telephone

Please post full fee to: R Ryan, Saas Fee, Ballyduane, Mungret, Co Limerick

TOTAL FEE:

ENROLLMENTS FOR SPRING 2009 will take place in LIT on Saturday 17th January from 11am - 12noon. If you have sent your form (plus fees) in by post, please turn up at your FIRST class on Saturday 24th January 2009