SPEECH AND DRAMA ENROLMENT FORM - YEARS 7 – 13 2018 Please return this completed form to Linda Procter, in the Performing Arts office, Diocesan School for Girls, Clyde Street, Epsom. For enquiries phone 550 2894 (DDI) or [email protected] Student’s Name __________________________________ Year level in 2018_____ Address ____________________________________________________________ School enrolment number: __________________________ Parent/Guardian contact details Home phone: ______________________ Work phone: _____________________ Parent mobile __________________

Parent e-mail _______________________

Speech and Drama tutor’s name in 2017________________________ or beginner Previous examination experience (if any) ____________________________________

JUNIOR HIGH & SENIOR HIGH SCHOOL ENROLMENT- YEARS 7 - 13 FEE STRUCTURE FOR A TERM OF 8 LESSONS. Please tick the appropriate box. Variations to group numbers and lesson length are at the tutor’s discretion, and will be charged at a proportional rate to those given below. Individual lessons, senior students only (at tutor’s discretion) $45.00 per 40 mins Group lessons (Years 7-13) 2 students

$36.00 per 50 mins

3 students

$24.00 per 50 mins

4 students

$18.00 per 50 mins

No Preference Mrs Celia Mannion Ms Glenda Pearce Ms Georgina Silk

Junior High & Senior High School Junior High & Senior High School Junior High & Senior High School

Please read the information sheet “Private Speech and Drama Lessons” before signing this form. Your signature gives a commitment to abide by the conditions of tuition described there and to pay fees for your daughter’s lessons. Parent/guardian name _________________________________________________ Signature (parent/guardian) ___________________________Date _____________