Simply Drama Spring 2 REGISTRATION

Student Name*

First NameLast Name

Student date of birth*

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Phone Number

Parent/Guardian Email:*

Emergency Contact Name*

First NameLast Name

Emergency Contact Number*

My Products

Simply Little Drama Home Ed, suitable for ages 4-8 THURSDAYS 9.45am-10.45am (February 26th - March 26th) PLEASE NOTE, THERE WILL BE NO CLASS ON MARCH 5th, DUE TO OUR WORLD BOOK DAY EVENT

£32.00

Simply Little Drama Home Ed PAY AS YOU GO

£8.00

Simply Little Artists Home Ed, suitable for ages 4-8 THURSDAYS 11.00am-12.00pm (February 26th - March 26th) PLEASE NOTE, THERE WILL BE NO CLASS ON MARCH 5th DUE TO OUR WORLD BOOK DAY EVENT

£32.00

Simply Little Artists Home Ed PAY AS YOU GO

£8.00

Craft and Chat, suitable for ages 12-16 THURSDAYS 1.00pm-2.00pm (February 26th - March 26th) PLEASE NOTE, THERE WILL BE NO CLASS ON MARCH 5th DUE TO OUR WORLD BOOK DAY EVENT.

£32.00

Craft and Chat PAY AS YOU GO

£8.00

Drama/LAMDA - Acting (optional) Home Ed, suitable for ages 8-13 WEDNESDAYS 10.30am-12:30pm (February 25th - March 25th)

£100.00

Drama/LAMDA - Acting (optional) Home Ed, suitable for ages 8-13 PAY AS YOU GO

£20.00

Musical Theatre Club, suitable for ages 8-16 WEDNESDAYS 5.30pm-6:30pm (February 25th - March 25th)

£37.50

Musical Theatre Club PAY AS YOU GO

£7.50

Bronze Arts Award MONDAYS 1.00pm - 2.00pm (February 23rd - March 23rd)

£50.00

Bronze Arts Award PAY AS YOU GO

£10.00

Discover/Explore Arts Award TUESDAYS 2.00pm - 3.00pm (February 24th - March 24) PLEASE NOTE, THERE WILL BE NO CLASS ON MARCH 10th

£40.00

Discover/Explore Arts Award PAY AS YOU GO

£10.00

Drama and Performance Club @ Widmer End CC School THURSDAYS 3.15pm - 4.15pm (February 26th - March 19th)

£30.00

A Practical Approach to Shakespeare, Supporting GCSE English Literature, suitable for ages 12-16 TUESDAYS 9.30am-10.30am (February 24th - March 24th) PLEASE NOTE, THERE WILL BE NO CLASSES ON MARCH 10th AND 24th

£30.00

A Practical Approach to Shakespeare, Supporting GCSE English Literature, suitabe for ages 12-16 PAY AS YOU GO

£10.00

GCSE Drama Home Ed, suitable for ages 12-16 FRIDAYS 9:30am-11:30am (January 9th - March 20th) PLEASE NOTE, THERE WILL BE NO CLASS ON FEBRUARY 20th

£250.00

Drama Classes for Adults MONDAYS 6.30pm-8.00pm (February 23rd - March 24th) PAY AS YOU GO

£12.00

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Health Information (for under 18s)*

Rows	Yes	No	If yes, please explain.
Does your child have any restrictions regarding physical activity?
Will your child need any special assistance during the sessions?
Does your child have any allergies?
Does your child require/carry an EpiPen?
Is there there anything else you feel I should know regarding your child's health?

Please note that I cannot give your child over-the-counter or prescription medication whilst in my care. *

Rows	Yes	No
I acknowledge and accept.

Photography and Filming Consent

Rows	Yes	No
I give permission for video of my child/my child’s photograph to be used on Simply Drama’s website.
I give permission for videos of my child/my child’s photograph to be used on Simply Drama’s social media pages.
I understand that these videos/photos will be stored securely and used only for the purposes stated above.

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Simply Drama Student Registration Form