Application Form for Marylebone Theatre Company 2018-2019
If there are no places available on receipt of your application, your child will be added to the waiting list and you will be notified when a place does become available.
Child's Name *
Your answer
Which group would your child like to attend? *
Date of Birth of Child (dd/mm/yyyy) *
Your answer
Parent/Carer Name: *
Your answer
Address and postcode *
Your answer
Emergency Contact Number *
Your answer
Home Phone Number *
Your answer
Name of School attending September 2018 *
Your answer
Parent email address (this is the main way we will communicate) *
Your answer
Occasionally Marylebone Theatre Company may take photos or film footage of weekly sessions or performances to use for publicity. Please indicate whether we have permission to use images and/or film footage of your child in this way: *
Is your child allowed to make their own way home from Marylebone Theatre Company? *
Please tell us about any allergies/medical conditions your child may have (include medication information if necessary): *
Your answer
Please tell us about any learning requirements your child may have: *
Your answer
I understand that ticking this box acts as a signature of consent for my child to attend this year's classes. *
Required
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