When entering names, please note that they need to be entered as follows: e.g for Fred Smith - 1st name would be entered as Fred, 2nd name would be entered as Smith, not FRED SMITH, or fred smith.

Programme

Act one 'Without Walls' July 8 - 22 2012
Act two 'Words Re-told' July 22 - Aug 5 2012
Both Act one and Act two July 8 - Aug 5 2012

Participant details

First name
Second name
Email
Telephone
School affiliation (if applicable)

Further information

Age (at start of the event)
Gender M F
Health information
Dietary information
Other information, eg, any learning support required.
T-shirt size (NB adult sizes)

Address

House name/no
Address line 1
Address line 2
Address line 3
Town City
Country
Post/zip code

Parent/Guardian details

First name
Second name
Email (NB - to be used for registration/invoicing purposes/correspondence)
Emergency contact phone number
Relationship to participant
I confirm that I am happy for you to use my daughter/son's email address for 'The Academy', and also for other ISTA news to be sent out.

Personal statement

All students applying for the Academy, are asked to submit a 250 word personal statement on why you are applying for this programme, how you will be able to contribute and what you expect to gain from your experience.

Reference 1

First name
Second name
Email
Telephone
Position

Reference 2

First name
Second name
Email
Telephone
Position
I agree to abide by the
The Academy registration procedures and cancellation policies

The Academy: Online registration form