New Customer Registration Form

Registration Form
The workshops:

Weekly creative workshops focusing on acting, dancing, singing, theatre making and performing in a safe and fun environment for young people aged 10-16.

No drama experience necessary.

Young people will be working towards a performance of 'A Midsummer Night's Dream' which will take place on Saturday 21st June 2025.

As we will be working towards a final performance, young people must commit to as many workshops as possible.

Saturdays 10am-12pm @ The Parish Church of St John-at-Hampstead, Church Row, London NW3 6UU

Start date: Saturday 29th March

Drinks and snacks will be provided each week.

All our facilitators are DBS checked and have lots of experience delivering youth programmes.

If you have questions or would like any further information please email hampsteadplayersjuniors@gmail.com or call/text on 07584497461.
Child/participant details:
Full Name*

First NameLast Name
Age and DOB*
Child's age and date of birth
Child's school*
I want to sign up a sibling: Name

First NameLast Name
Age and DOB
Child's school
Parent/carer details
Name*

First NameLast Name
Relationship to child:*
Parent/carer phone number*
Parent/carer phone number*
Please enter a valid phone number.
Parent/carer email address:*
example@example.com
Emergency Contact 2 (we will only contact this person if we cannot get hold of the main parent/carer contact in an emergency). Name:*
Name
Relationship to child:*
Phone number:*
Number
Does your child require any additional support you feel would be helpful for us to know so we can support your child in the most appropriate way (eg. SEND)? If so, please give details.*
Does your child have any medical needs, mobility issues or allergies? If so, please give details.*
Are you happy for your child to be photographed for future promotion on the Hampstead Players' website and social media?*

YesNo
Tick if you give permission for your child to go home by themselves:*

Yes, my child can go home by themselvesNo, my child cannot go home by themselves
If you want someone other than you to pick up your child, please enter the name of the adult collecting them, and relationship to child*
How did you hear about us?
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Registration Form

Child/participant details:

Parent/carer details