Application Form for Wednesday Classes
Use this form to join our Wednesday classes in Enfield only
Sign in to Google to save your progress. Learn more
I am applying for:
 *
Child's first name *
Child's last name *
Child's Age *
Child's date of birth *
Child 2 Full Name *
Child 2 date of birth *
Child's full address including postcode *
Child's gender *
Parent / Guardian's full name
 *
Parent / Guardian's phone number *
Parent / Guardian's Email Address
 *
Do you give permission for us to contact you by email and phone?
 *
Full name of emergency contact
 *
Relationship of emergency contact to child
 *
Phone number of emergency contact
 *
Name of child's school
 *
Please list any medical conditions /allergies which we need to be aware of
 *
Do you give permission for trained staff to administer BASIC fist aid? (i.e. cold pack for bumps and plasters for cuts)
 *
I have read and agree to TLA's  terms and conditions, including photographs and short video clips will be taken during the class to help promote Theatre Life Academy for TLA online social media and TLA YouTube. Tick here to agree to our terms and conditions available to view on our Website: https://theatrelifeacademy.co.uk/terms-%26-conditions
 *
Required
Please list any other information that you would like us to be aware of.
 *
Where did you hear about the musical theatre classes?
 *
Digital Signature. Please type your name below to confirm all the above details are correct.
 *
Date
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms