STS OXTED REGISTRATION FORM

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Email Address *

Child's Name *

Date Of Birth *

Parent/Guardian Name *

Address *

Post Code *

Mobile Number *

Emergency Contact Number & Name 1 *

Emergency Contact Number & Name 2 *

School Attending *

Has your child got any medical conditions or allergies that we should be aware of?
*

Is your child taking any medication?
*

Does he/she have difficulty with hearing/eyesight?*
*

Is there anything else you would like us to be aware of?
*

Which classes is your child interested in?
*

Musical Theatre

Jazz Technique

Drama/LAMDA

Street

Ballet

Tap

Modern

Required

Please tick this box to confirm you have read and agreed to the Terms & Conditions on the Starmakerz Oxted website *

I have read and consent to the Terms & Conditions

Required

And finally, how did you hear about us?
*

Word of mouth

Instagram

Facebook

Google/ STS Website

Other:

Required

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