EUPHORIUM
Regional WA

IMPROV SIGN UP FORM

SIGN UP FOR THE GERALDTON IMPROV PROGRAM

Want to know more ? Email or call Jody at Jody@thecomedyemporium.com OR 04 98 230 487

If you’d like to sign up now and be invoiced for your fees to pay through another method, please complete the form below, OR... >
Please pick the age group appropriate to you.
Is this the first, second or third member you have enrolled in a program?
Name of Performer *
Name of Performer
Name of Guardian (if under 18)
Name of Guardian (if under 18)
Guardians Phone Number (required if under 18)
Guardians Phone Number (required if under 18)
I have spoken to OR will speak to the Improv Coaches about fee's *
I have already paid insurance *
I would like to pay for a TCE IMPROV shirt *
THIS IS OPTIONAL AS PERFORMERS CAN JUST WEAR A BLACK SHIRT.
I give permison for my image or the image of the performer I am signing up for to be used in media about the Improv program including advertising for performances. *
I understand that invoices will be paid by end of term unless prior arrangement *
Invoices will be send out via email and can be paid by direct debit/Paypal/credit card. If you have any concerns about payments or need to speak to us about payment programs or scholarship please comment bellow.
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