Hothouse USA

USA BOOKING FORM

Name
First Last
Title (Teacher, Principal etc.)
Name of School
School Address
Email
School phone number (please include extension number)
Cellphone number
Please select up to three date options ONE will be confirmed
- Monday 14th November
- Tuesday 15th November
- Wednesday 16th November
- Thursday 17th November
- Friday 18th November
Please note timings are 10.00am - 5.00pm
Number of students attending (A max of 60 students and a minimum of two staff members)
What would this project do for your students?
Why is drama important in your school?
Do you require a travel bursary? (Up to $250)
- Yes
- No
Travel bursary amount needed?
Please print signature below

Please note that HOTHOUSE is on a first-come-first-served basis. We will let you know if your application is successful either way.