The Empire Kids Registration
Parent/Guardian Details
Full Name
*
First Name
Last Name
Email
*
example@example.com
Mobile
*
Please enter a valid phone number.
Suburb
*
Post Code
*
Childs Details
Why do you want your child to join a Talent Agency?
*
Full Name
*
First Name
Last Name
Date Of Birth
*
-
Day
-
Month
Year
Gender
*
Please Select
Female
Male
Other
Height
*
Clothes Size
*
Shoe Size
*
Hair Colour
*
Eye Colour
*
Ethnic Heritage
*
Instagram
Family/Friend Connection
Do you have family or friends already with the The Empire Kids?
Tell me a little about your child
*
Interest / Skills
Dance
Sports
Instruments/Music
Languages Spoken
Acting/Drama Experience
Images
Headshot
*
Upload Files
Drag and drop files here
Choose a file
File cannot be more than 2MB
Cancel
of
Full Body image
*
Upload Files
Drag and drop files here
Choose a file
File cannot be more than 2MB
Cancel
of
Please verify that you are human
*
Submit
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