Registration form for new members
We use this personal information to ensure your child is safe and supported whilst at Footlights. All personal information is held securely and will only be shared with administrative or teaching staff who need this information to meet you/ your child's needs.
Which class/classes are you interested in?
Don't worry if you want attend more than one on any single day!
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Child's name
First Name *
Your answer
Middle Name
Your answer
Last name *
Your answer
Preferred Name
If different
Your answer
Date of birth *
Please give: DD/MM/YYYY
Your answer
Gender
Parent/Guardian Info
Full Name *
Your answer
Relationship to child *
Your answer
Telephone no. *
Your answer
I understand these details will be used as an emergency contact. *
Required
Email address *
We will send all Footlights communications and invoices to this address
Your answer
Address *
Your answer
Is there anyone else who may regularly pick up your child from Footlights?
Name
Your answer
Name
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Footlights Performance Academy Ltd..