Register of Interest
Raynes Park Afternoon School

Child's Name: Child's Date of Birth:

Address:


E-mail Address:

Parent's / Guardian's Names :

Home Tel:
Mobile Tel:


Useful Information:

I would prefer to be contacted by:-

E-Mail
Letter
Telephone


I understand that the information submitted in this form is solely for the use of Theatrecraft Ltd, and will remain strictly confidential and that information will be stored according to the terms of the Data Protection Act.