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Lighthouse School of Speech, Drama and Communication YOUTH THEATRE Sign Up
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Student's Full Name *
Date of birth *
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School student currently attends *
Parent/carer's Name 1 *
Phone Number 1 *
Email Address 1 *
Parent/carer's Name 2 *
Phone Number 2 *
Email Address 2 *
Address *
Emergency Contact Full Name *
Student's relationship to emergency contact *
Emergency Contact Mobile Phone Number *
Allergies / Medical Conditions we should be aware of *
Any other relevant information
Youth Theatre Session to attend *
Required
Youth Theatre Package (11 Week Term) *
Please contact us for Bursary places and their criteria by emailing hello@lighthousessdc.org
Sibling saver place (20% off)
Only tick this if THIS form is for a sibling of a previous application
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Do you want to sign up to any of our other clubs? (Can be more than one!) If so we will send you the sign up link!
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How did you hear about Lighthouse Youth Theatre *
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Photo and filming permissions *
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I agree to your Privacy Policy *
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