Senior - Norden Farm Youth Theatre Application

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14 Week Course

Dates

Wednesdays - 6.05-7.30 pm

Sharing session *DECEMBER 18th*

Price £180

Pupil Information

First name *

Surname *

Age *

School Year *

Allergies and relevant medical information

Parent/guardian Information

Parent/Gaudian EMAIL *

Primary contact number and relationship to child
*

Secondary contact number and relationship to child

My child (If 14 years or above) can wait for collection alone or will be walking home
*

Wait for collection

Can walk home

Required

I give consent to photos/videos of child for advertising purposes
*

Yes

Required

Surname on payment to NF *

Parent/guardian signature/initials
*

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