Student Registration Form
2023-24

Child's Full Name

Child's Date of Birth

Contact Email Address

School Year 2023-24

Address (including postcode)

Emergency Contact Name (1)

Emergency Contact Number (1)

Emergency Contact Name (2)

Emergency Contact Number (2)

Medical Information / Injuries / Allergies / Additional Needs..

I consent to emergency first aid being given if deemed necessary by a trained first aider

Yes

Please state any restrictions you wish to place on emergeny medical treatment.

I agree to the capture and use of photographic images, film and sound recordings of the named participant, for use in the documentation, evaluation, promotion, marketing and publicity of Stage-Stars Theatre Academy Ltd. These images and recordings may be used, reproduced and distributed in print, electronically and mechanically, including via websites and e-mailings

Yes

I confirm I have read and understood both the Terms & Conditions and also the COVID SECURE Measures that are currently being enforced to align with the most up to date government guidance and agree to comply wih all terms.

Yes

Name of person submitting this form

Date

Stage-Stars Terms & Conditions

Thanks for submitting!

Student Registration Form 2023-24

admin@stage-starstheatre.co.uk

Student Registration Form
2023-24