DITSHOMO SCHOOLS OUTREACH PROGRAM

School

Learner Grade

Responsible Teacher : Name

Responsible Teacher: Contact Details

Name of student

I.D Number of student

Home Address

Leaner Contact Details

Leaner Email Address

Name Of Parent/ Legal Guardian

Contact Details of Parent / Legal Guardian

Based on your selected disciplines , please share with us why you want to be part of this programme? (max.300 words)

Disability?

If you require any special needs for a disability, please indicate your disability and what your needs are.

In 300 words (or less) OR in a 2 minute video, share some thoughts with us on how you think theatre can explore the theme of POWER?

2 minute video

Drag & Drop Files, Choose Files to Upload

Acceptance

Cookie	Duration	Description
cookielawinfo-checkbox-analytics	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional	11 months	The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance	11 months	This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy	11 months	The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.

Subscribe to our newsletter