Registration - The Market Theatre Laboratory

Personal Information

Surname*

First

Name (as it appears on ID/PP)*

First Last

Date of Birth

Gender

Marital Status

Nationality

ID / Passport Number

For Permit Holders

Type of permit

Permit Number

Permit Expiry Date

Home Language

Other Languages

Ethnic Group

Ethnic Group (Other)

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

We kindly ask that you fully disclose the required information. This will help us in offering you adequate support should you require it.

Do you have any medical conditions, including mental health conditions*

If yes, please provide details of the condition/s, and include any information the Lab needs to know to support you or manage any incidents in school hours.

Do you have spiritual beliefs or traditions that might affect your participation in the course?*

If yes, please provide details and include any information the Lab needs to know to support you or manage any incidents in school hour.

Is there anything else we should know about your needs, capacity and context, to make your journey at the lab a positive one?*

If yes, please provide Details

Home Telephone

Mobile Number

Email address

Alternative Contact Person

Name

First Last

Relationship

Contact Number

Email Address

Financial Information

The Tuition fees for the course are R11 000.00 for 2021. A minimum of R5 500.00 is required to be deposited by the successful candidate by the 15th December 2020 in order to secure registration. This amount does NOT include accommodation and transport/ subsistence costs

How do you intend to Pay for your study fees?

If self or other, please specify

Please note that while bursaries are sometimes available to help you with the balance of your fees, we do not guarantee this, and you are ultimately responsible for paying your fees. Once you register, you are liable for your fees even if you drop out during the year.

For Person/s Responsible for Fees:

Name*

First

Relationship to Applicant

Contact Number*

Email

I, the undersigned, agree to attend all classes and rehearsals and abide by the rules of conduct set out by the teachers and administration of the Market Theatre Laboratory.

Name

First Last

Date

For Student*

I hereby confirm that all the information on this form is true and complete to the best of my knowledge.

2021 Registration Form

Personal Information

For Permit Holders

Alternative Contact Person

Financial Information

Please note that while bursaries are sometimes available to help you with the balance of your fees, we do not guarantee this, and you are ultimately responsible for paying your fees. Once you register, you are liable for your fees even if you drop out during the year.

For Person/s Responsible for Fees: