Open Space Theatre School – Summer Programme Registration
Thank you for your interest in Open Space Theatre School. We’re delighted to be running our summer programme again, and look forward to welcoming your child for a creative, confidence-building week of theatre. Please complete the form below to reserve a place. A deposit is required to secure booking.
For further details
Contact David Purveur at speak.up@me.com
PARENT / GUARDIAN DETAILS
Parent/Contact Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Emergency Contact Name & Number (if different)
CHILD’S DETAILS
Date of Birth
*
-
Day
-
Month
Year
Date
Child’s Full Name
*
Age
*
School Attended
Does your child have any previous drama or performance experience?
Does your child have a sibling attending?
*
Yes
No
Sibling Full Name
Sibling Date of Birth
-
Month
-
Day
Year
Date
Sibling Age
Sibling School Attended
Sibling Previous Drama or Performance Experience
MEDICAL & ADDITIONAL NEEDS
Please provide details of any medical conditions, allergies, or additional needs we should be aware of
Is your child currently taking any medication?
Yes
No
If yes, please give details below
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: 00000 000000.
PERMISSIONS
Photography & Video Consent
I give permission for my child/children to be included in photos/videos for promotional use
I do not give permission
Medical Consent
I give permission for my child/children to receive basic first aid and emergency medical treatment if required.
COURSE DETAILS
Selected Course
Please Select
Summer Theatre School: August 10th – 14th, St Jude’s Mapperley
PAYMENT
Please send your deposit to the following account Monzo Business Account. Account Name: David Purveur Sort Code: 04-00-04 Account No. 89492585. Please use your child's name as the reference. Your place will be guaranteed upon receipt.
FINAL CONFIRMATION
*
I confirm that the information provided is accurate and I understand that a deposit is required to secure my child’s place.
Register
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