Enrolement

Get enroled onto our classes

Your details:

Name of Parent/Gauardian:*

Name:

Telephone Number:

Student details:

Student name:*

Address:*

Postcode:

DOB:

Age:

Email Address:*

Telephone Number:*

Does your Son/Daughter have any disabilities we need to be aware of?

Yes

Is he/she on any medication or allergic to anything?

Yes

Does your Son/Daughter use an inhaler?

Yes

Registered Doctor

Doctor's name:*

Practice/Surgery:*

Telelphone number:*

Please give brief details of any previous drama experience:

Do you consent to your son/daughter being included in class/production photos and/or videos?

Yes

Confirmation

I hereby acknowledge that the details on this form is correct:*

Yes

Fields that are marked with an asterisk '*' are required to be filled in.