|
The Elemental
School of Drama |
REGISTRATION FORM
Please complete form and return to The Elemental School of Drama
Student Name:
D.o.b.
Age:
Parent/Guardian Name:
Address:
Day Phone No: Evening No:
Email:
Emergency Contact Name and Number:
This is to certify that has my permission to attend the Elemental School of Drama Classes, courses and productions. I agree to pick up my child no later than 10 minutes after class has ended. I am happy to sign my child in and out of the hall. If a different person is picking my child up I will tell one of the co-ordinators beforehand and leave a copy of their signature
Signature of Parent/Guardian
Date:-
Please state information regarding your child’s health, mobility, behaviour and medication in order to help us meet his/her needs more fully whilst at The Elemental School of Drama. Also add if there is any special protocol/procedure we should be aware of when working with your child.
For office use only
Start Date: Time:
Venue:
Please indicate method of payment: cheque
cash
*Please enclose enrolment fee with this form along with Term fee (6 weeks).
All cheques should be made payable to The Elemental School of Drama.
I do* / do not* grant permission to the Elemental School of Drama to use my child’s photograph, written work, Art work and voice in academic works, brochures, our website, videos or other promotional materials.
* please delete where appropriate
Signed
Date
|
