PARTICIPANT DETAILSName: _____________________________________________________________________________________

Address: ________________________________________________________________Postcode: ___________

Email: ____________________________________________________ Phone: __________________________

Emergency contact: __________________________________________ Phone: __________________________

PAYMENT DETAILSI/we are paying by: c Cheque: made payable to Ku-ring-gai Council c Cash (if paying in person) c Credit card: (see below)

c MasterCard c Visa c Amex NOTE: Merchant fees apply to credit card transactions.

Name on card: _____________________________________ Signature: ________________________________________

Come along and enjoy this popular award winning musical – full of great music, laughs and action! Matilda the Musical is inspired by the beloved book by the incomparable Roald Dahl. It offers a captivating musical masterpiece from the Royal Shakespeare Company that revels in the anarchy of childhood, the power of imagination and the inspiring story of a girl who dares to change her destiny. It was written by Dennis Kelly, with music and lyrics by Tim Minchin.TIME: Show commences at 1pm – departing outside Marian St Theatre at 11am. You will have time to grab a bite to eat or wander around the precinct prior to the show. (*Lunch at your own cost) VENUE: Sydney Lyric Theatre COST: Option 1: Bus + show: Concession (seniors card): $85 Non-concession: $99 Option 2: Show only: Concession (seniors card): $73 Non-concession: $87

BOOKING FORMDate Event No. attending Cost TotalWednesday 16 December Matilda the Musical $

I/we hereby indemnify Ku-ring-gai Council and associated community organisations, against responsibility for accidents, loss or injury suffered by me/us. Should, at any time, the organisers consider that I/we require medical treatment. I/we consent to treatment being obtained at my/our expense.

Signature: ___________________________________________________________________________________________

Office use only: Ref RC444

WEDNESDAY 16 DECEMBER, 11AM

USE THIS FORM IF YOU ARE NOT BOOKING ONLINE | BE QUICK - PLACES FILL FAST

MATILDA THE MUSICAL

Seniorsin action programs

Expiry date: ____ / ____

Ku-ring-gai Council 818 Pacific Hwy, Gordon

HOW TO BOOK Ku-ring-gai Council Locked Bag 1006 Gordon NSW 2072

NOTE: Booking cannot be processed until payment is made in full

kmc.nsw.gov.au/seniors

kmc.nsw.gov.au/seniors

BOOKINGS CLOSE 12 OCTOBER

BOOKINGS CLOSE 12 OCTOBER