Child's registration form

Dramacademy Course *

Child's Name *

Child's Name

First Name

Last Name

Child's Date Of Birth *

Child's Date Of Birth

YYYY

Child's School *

Child's Gender

Parent's Name *

Parent's Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email *

Mobile Phone *

Home Phone

Who has permission to collect your child after the class? Please list ALL authorised adults, including yourself.

Authorised Adult 1 *

Authorised Adult 2

Authorised Adult 3

Authorised Adult 4

If we cannot reach you who should we contact in case of emergency?

Name / Phone Number 1

Name / Phone Number 2

Name / Phone Number 3

Name / Phone Number 4

are there any medical conditions or health matters that we should know about? Please list below.

How did you hear about Dramacademy?

Please confirm that you have read our terms and conditions.