POWERHOUSE PLAYWRITING COURSE - APPLICATION FORM

Name

First Name

Last Name

Email

Phone

Age

18-25

26- 30

31-40

41-50

50-65

65+

Can you commit to most weekly sessions from February to May?

Tell us a little bit about yourself, and why you’d like to attend this course.

If required, are you able to provide an example of any of your previous script-work? (No problem if not, but any examples are useful).

Yes

No

Any other details or questions?: