Starmakerz Theatre School Leatherhead Registration Form
Date Of Birth
Classes you would like your child to sign up to: -
Has your child got any medical conditions we should be aware of?
Is your child taking any medication?
Does he/she have difficulty with hearing/eyesight?
Does your child suffer with any allergies?
Is there anything else you would like us to be aware of?
In the event you are unavailable please supply two alternative contact numbers:
Emergency Contact 1
Emergency Contact 2
Please tick this box and sign below to confirm your consent to photographs and video footage for use in promotional material.
Your Full Name
How did you hear about us?