STUDENT & PARENT/GUARDIAN INFORMATION
STUDIO STARLIT FREE TRIAL CLASS INFORMATION FORM
1. Student's Full Name
*
First Name
Last Name
ALIAS / ENGLISH NAME
2. Date of Birth
*
-
Day
-
Month
Year
Please input date (DD-MM-YYYY)
3. Gender
*
Male
Female
4. SCHOOL NAME
*
5. SCHOOL GRADE
*
6. COURSE INTEREST
*
Please Select
LAMDA Introductory (Ages 4-6)
LAMDA Acting: Growth (Ages 6-9)
LAMDA Acting: Explore (Ages 9-12)
LAMDA Acting: Advance (Ages 13+)
LAMDA Public Speaking: Growth (Ages 6-9)
LAMDA Public Speaking: Explore (Ages 9-13)
LAMDA Public Speaking: Advance (Ages 13+)
LAMDA Musical Theatre (Ages 7-13)
In which Studio Starlit Course are you interested?
7. Preferred Trial Date
*
-
Day
-
Month
Year
Date
8. Student's Email
*
Please enter and confirm the student's e-mail address
9. Parent/Guardian's Name
*
First Name
Last Name
10. Parent/Guardian's Contact Number (WHATSAPP)
*
-
Area Code
Phone Number
11. Parents/Guardian Contact Email Address
*
Please enter the Parent/Guardian e-mail address.
12. Remarks (if any)
If you have any additional remarks or questions please write them here.
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Terms & Conditions
Terms and Conditions
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YES - I have read and fully understand the terms and conditions stated above.
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