STA Enrolment Form
Students under 18 must receive parental consent to fill in this form.

Please read and understand the following Terms and Conditions before completing this form:
Email address *
Interested in: *
Full Name *
Date of Birth *
Parent/Guardian Name *
Email *
Address *
Phone number *
Emergency Contact (if parent/guardian is unavailable) *
Emergency Contact Number *
Do you have any allergies? *
If yes, please specify
Do you consider yourself to have a disability? *
If yes, please specify
Please outline any other health concerns or problems here:
How did you hear about us?
Additional info
Please confirm you have read the Terms and Conditions and that you accept the privacy policy *
If the information given above is correct and all required fields are completed, please click 'Submit' below to confirm your requested enrolment to Starburst Theatre Academy
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