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KCAT Courses Application Form 2018 /2019
Kilkenny Collective for Arts talent
Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Which Course(s) would you like to apply for?
Roots
Portfolio Course
Open Studio Ceramics
Ceramics for Beginners
Printmaking
Open Studio Wednesdays
Drawing from Life
Open Studio Thursdays
Acting Course
Sculpture
Dance Lab
Dance for Beginners
Open Studio Creative Textiles
Illustration
Details for Contact Person (in case of emergency)
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Relationship to applicant(spouse, parent, carer?)
Your answer
Other relevant information including medical or other requirements *
Your answer
I consent to the use of photographs/films/videos of me being taken in relation to KCAT activities for promotional/publication purposes *
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All correspondence can be emailed *
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