Class Request Form

Waiting List Request Form
Which classes are you interested in?*

3-6 years Drama & Musical Theatre 4.15pm - 5pm)7-10 years Drama (5pm - 5.45pm)7-10 years Musical Theatre (5.45pm - 6.30pm)11+ years Drama (6.30pm -7.30pm on Mondays/Thursdays OR 7.30pm - 8.30pm on Fridays)11+ years Musical Theatre (7.30pm - 8.30pm on Mondays/Thursdays OR 6.30pm - 7.30pm on Fridays)Solo Lesson
Which day would you like to attend? (you can tick more than one day if you wish to be considered for any day that becomes available - for a specific day please only tick the day you would like)*

MondayThursdayFriday
My first choice evening is blanks* . My second choice evening is blank* .
STUDENT DETAILS
What school year is your child in - (from Sep 2024)*
If applicable / different
Name*

First NameMiddle NameLast Name
Preferred Name
If applicable / different
Date of Birth*

DayMonthYear
PRIMARY CONTACT

Also emergency contact
Name*

First NameLast Name
Preferred Name
If applicable / different
Relationship to Student*
Phone Number*
eg. 07478 407470
Email*
example@example.com
OTHER
Where did you or the student hear about Act One Beginners?*
Date*

DayMonthYear
Act One Beginners take the privacy of our students and parents’ data seriously. We will only use your personal information for communicating with you about your membership or future events.

We will never share your data without your priory permission.
Should be Empty:

Waiting List Request Form