Simply Drama Student Registration Form
Student Name
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First Name
Last Name
Student date of birth
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Parent/Guardian Name
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First Name
Last Name
Address
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Street Address
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City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
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Emergency Contact Name
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My Products
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Simply Little Drama Home Ed, suitable for ages 4-8 THURSDAYS 9.45am-10.45am (April 16th - July 16th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 28th
£
96.00
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 (April 16th - July 16th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 28th
£
96.00
Simply Little Artists Home Ed PAY AS YOU GO
£
8.00
Drama/LAMDA - Acting (optional) Home Ed, suitable for ages 8-13 WEDNESDAYS 10.30am-12:30pm (April 15th - July 15th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 27th
£
240.00
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 (April 15th - July 15th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 27th
£
90.00
Musical Theatre Club PAY AS YOU GO
£
7.50
Bronze Arts Award THURSDAYS 1.15pm - 2.15pm (April 16th - July 16th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 28th
£
120.00
Bronze Arts Award PAY AS YOU GO
£
10.00
Drama and Performance Club @ Widmer End CC School THURSDAYS 3.15pm - 4.15pm (April 23rd - July 9th)
£
82.50
A Practical Approach to Shakespeare, Supporting GCSE English Literature, suitable for ages 12-16 TUESDAYS 9.30am-10.30am (April 21st - July 15th) PLEASE NOTE, THERE WILL BE NO CLASS ON MAY 26th
£
120.00
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 (April 17th - July 17th) PLEASE NOTE, THIS EXCLUDES APRIL 24th, WHICH IS PAYABLE SEPARATELY. THERE WILL BE NO CLASS ON MAY 29th
£
250.00
'Blood Brothers' Workshop, suitable for ages 12+ FRIDAY 24th APRIL 9.30am - 3.00pm
£
40.00
'Blood Brothers' Workshop, additional sibling (10% discount)
£
36.00
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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