Book your space at Starlight Theatre Academy
We will contact you when we receive your form to book your FREE taster or space on our holiday courses. If you have any questions please contact
info@starlighttheatreacademy.co.uk
Please be aware that Starlight Theatre Academy's 'office' is a one- woman operation, and response will not be instant. If your request is urgent, please call 07596 959326
* Required
Email address
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Your email
Booking for;
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Circus and Superheroes 17th-19th April (please specify dates in box at the bottom of this form)
FREE taster at Starlight Theatre Academy (7+)
FREE taster at Starlets (4-7s)
Adding name to mailing list
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Child's First Name
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Your answer
Child's Second Name
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Your answer
Parent's First Name
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Your answer
Parents Second Name
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Your answer
Child's DOB
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MM
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DD
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YYYY
Address Line 1
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Your answer
Address Line 2
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Your answer
Address Line 3/ Postcode
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Your answer
Any medical or behavioural issues?
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Your answer
Email 2
Your answer
Phone number
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Your answer
Emergency Contact Name(s) (other than parent named above)
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Your answer
Emergency Contact Number(s) (other than parent named above)
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Your answer
Where did you hear about STA?
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Facebook
Flyer from school
Family Grapevine
Magnus C of E
Newark Advertiser
Other:
Any questions? Please specify which dates if you are booking for Easter
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