UPCOMING SHOWS! Christmas Memories - Tues 21st November | Kisses to Heaven: Psychic Sally - Fri 24th November | Dancing Queen: The Biggest 70s Party Ever! - Saturday 25th November | Beauty and The Beast - 9th December - 1st January

APPLICATION FORM

YOUR DETAILS

First Name:

Surname:

Address / Postcode:

Email:

Phone Number:

Work Number:

CHILD DETAILS

First Name:

Surname:

Gender:

DOB:

Age:

School Year:

EMERGENCY CONTACTS

Primary Emergency Contact

Contacts First Name:

Contacts Surname:

Contacts Number:

Contacts Email:

Secondary Emergency Contact

Contacts First Name:

Contacts Surname:

Contacts Number:

Contacts Email:

MEDICAL INFORMATION

Hospital/Clinic name:

Doctor's name:

Contacts Number:

Contacts Email:

Known medical conditions:

Allergies:

Current Medications:

PHOTOGRAPHY PERMISSION

Please tick the correct box

give permission for performance photographs of my son/daughter to be displayed on the group (private) facebook page or in the press.