Youth Theatre Summer Academy
Aug 18th to 22nd 1pm to 3pm, Must have completed 1st year
Childs Name
*
First Name
Last Name
Child School Year
1st Year
2nd Year
3rd Year
4th Year
5th Year
6th Year or equivalant
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
County
Postcode
Parent/Guardians Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Additional Emergency contact no
*
Please enter a valid phone number.
Medical Needs and Emergency Procedures
It is essential that these are given for Health and Safety Purposes
Has you child any medical conditions or allergies, if yes please give details
*
yes
no
Please detail any medical conditions or allergies
Has you child any additonal needs or requirements, if yes please give details
*
yes
no
Please detail any medical conditions or allergies
I consent to your childs photograph/video footage being used for archive and promotional purposes
*
yes
no
I consent to my child taking part in Craic Activities not limited too but including workshops and performances
*
yes
no
My Products
*
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Registration Fee
£
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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