Registration Form

Students Name:

Date of Birth:

Address:

Parents / Guardians Names:

1.

2.

E-Mail:

Home Tel.:

Mobile Tel.

Student Details:

Medical / Emergency:

Emergency Contact (Name && Phone):

Medical Info (Allergies, significant medical conditions etc):

Payment Information:

Payment Plan:

One Installment of £250

Two Installments of £125

Payment Method:

Cheque / Cash

Credit / Debit Card (On-line only)

Please apply 50% discount as this is the second or subsequent sibling enrolled.

This student is enrolling for a 2 week trial.

About the Student!:

Please tell us a little about the student enrolling (e.g. shows or school performances, dance lessons,

gymnastics, hobbies, likes / dislikes and enything else that you feel like sharing with us!)

About the Parents / Guardians:

Please let us know if you would be interested in helping in any of the following areas:-

Trip Chaperone

Costume Making

Make-up

Sound (for shows)

Scenery Making

Backstage / props

Lighting (for shows)

Set Painting / Art

Band

Details:

I understand that the information supplied in this form will only be used by Theatrecraft, and will remain

strictly confidential. I also understand that this information will be stored on a database, according to

the terms of the Data Protection Act.

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