Request edit access
Registration Form Summer Stage 2018, 16th-20th July
Please complete the following form if you wish to register your child for our Music and Theatre Stage 2018. We require one form per child you wish to register. We shall be in touch to confirm your place and take full payment of 275€ to secure your place for the full week, €70 for a full day (09h30-16h30), or €40 for half day (09h30-12h30 or 13h30-16h30)
First Name *
Your answer
Surname *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What is the first language of the participant?
Your answer
Parent First Name *
Your answer
Parent Surname *
Your answer
Address *
Your answer
Post Code *
Your answer
Parent Email *
Your answer
Parent Phone *
Your answer
I would like to sign up to the FULL WEEK of the stage between 16th-20th July 2018 for €275 *
If you do NOT want to do the full week, which date(s) would you like to attend?
Full Day (09h30-16h30)
Half Day Morning (09h30-12h30)
Half Day Afternoon (13h30-16h30)
Monday 16th July
Tuesday 17th July
Wednesday 18th July
Thursday 19th July
Friday 20th July
Any additional information or special requirements
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy