DITSHOMO SCHOOLS OUTREACH PROGRAM

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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

Click or drag a file to this area to upload.

Acceptance

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