Stars Registration Form
Complete the form below to book in your a trial performing arts class, or register for our out of school clubs and holiday workshops.
What are you registering for?
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Performing Arts Classes
After School Club
Holiday Workshops
Please select your performing arts classes:
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Tiny Stars
Twinkle Stars (Fridays)
Twinkle Stars (Saturdays)
Saturday Stars
Ballet, tap & modern
Acrobatics Juniors
Acrobatics Inters
Street Dance
Dance Technique
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Student Details
About Your Child
Student Name
*
Child's First Name
Child's Last Name
Pronouns
*
She/Her
He/Him
They/Them
Other (please specify)
How old is your child?
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Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Date of Birth
*
-
Month
-
Day
Year
Date
Home address
*
Street Address
Street Address Line 2
City
County
Post Code
Local Authority
*
Local Authority (Council covering the child’s home address — required for performance licensing)
Dietary requirements
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None
Vegetarian
Vegan
Halal
Gluten free
Dairy free
Other (please specify)
Does your child have any medical conditions or allergies?
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Yes
No
Please disclose any information including allergies, asthma, or access or educational needs with details of medication and a care plan if necessary.
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Collection word
This will be used when collecting your child whilst our team become familiar with their guardians, please ensure everyone collecting your child has this word.
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Out of School Club
Which days do you need?
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Tuesday
Wednesday
First date requiring collection
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-
Month
-
Day
Year
Date
Child's photo
Browse Files
Drag and drop files here
Choose a file
Please upload a photo of your child so our team know who to look out for.
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School Details
School name
*
School address
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Class/Year group
*
Teacher name
*
Collection place
*
Playground
Classroom
Reception
Other (please specify)
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Parent / Guardian details
Title
Please Select
Dr
Mr
Mrs
Ms
Miss
Parent/Guardian Name
*
Parent/Guardian First Name
Parent/Guardian Last Name
Relationship to student
*
Email address
*
Confirmation Email
example@example.com
Daytime contact number
*
Please enter a valid phone number.
Is your address different to the students?
*
Yes
No
Parent/Guardian address (Only complete if different to student's address above)
Street Address
Street Address Line 2
City
State
Post Code
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Alternative Contact
In case of an emergency, this contact will be used as an alternative method of contact.
Alternative contact name
*
Alternative Contact First Name
Alternative Contact Last Name
Alternative contact relationship to student
*
Alternative contact daytime number
*
Please enter a valid phone number.
Alternative contact email
example@example.com
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Permissions
Photography Permission
*
Please Select
Yes
No
I give permission for my child to be photographed under supervision of Stars Staff. In accordance with our child safe guarding policies, we will not permit any photography, filming or media aspect that includes the image of the child unless permission is given by the parent. Stars will make sure that these images are used solely for the purposes they are intended, for instance, use on our social media or website.
Outings with STARS/ STARS Staff
*
Please Select
Yes
No
I give my permission for the above named child to go to the park, library or any suitable outing with STARS staff during After School Club.
Transporting in a Vehicle
*
Please Select
Yes
No
I give my permission for the above named child to go to the park, library or any suitable outing with STARS staff during After School Club.
Sun Protection Cream Application
*
Please Select
Yes
No
I give permission for sun protection cream to be applied to the above named child by STARS Staff.
Waiver
I'd like to receive email updates from Stars Performing Arts, including news, holiday workshops and upcoming opportunities. You can unsubscribe at any time.
*
Yes
No
Submit
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