Registration Form

Registration Form

WE REQUIRE A SEPARATE REGISTRATION FOR EACH CHILD PLEASE.
PLEASE COMPLETE THIS FORM TO SECURE YOUR CHILDS PLACE

IF YOU HAVE ANY QUESTIONS, PLEASE CALL OUR OFFICE ON 01509 646647
Student Details*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Usual School or College Name:*
Parent/Carer Details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Town

Post Code
Email*
Mobile Number*
Landline Number
Alternative Contact Number: (in case of emergencies)*
Does your child have any medical conditions/allergies/injuries or other circumstances that we should be aware of?*

YESNO
If YES please give details here
Anything else you think we should know about your child
Do you wish for your child to be added to our list for consideration for professional work if we are asked?*

YESNO
Please Choose the Class Required

(Please use a separate form for each class you wish to enrol for)
Please use the drop down menu to choose your preferred session*
We will be in touch to confirm your place ASAP
Does your child have your consent to leave the premises alone at the end of the session?*

YESNO
Where did you hear about us?*
Declaration by Parent/Carer

Please insert your name below to confirm your acceptance of these conditions.
I, blanks* as parent/carer of the above child, declare that the above information is correct and complete, and I give my consent for my child to take part in singing/acting/dancing lessons at BrightLights Theatre School. I agree to pay fees as they become due. I confirm I have read and agree with BrightLights terms and conditions, and agree to photos and videos being taken of my child for advertising purposes.
By submitting this form I agree to BrightLights Theatre School holding and processing my data, and that of my child, on the grounds of consent and legitimate interest.
Taster sessions are non-refundable once you have accepted a place.
Date*

DayMonthYear
Date
Please pay for your 2 taster sessions.*
prevnext( X )
Bright Young Things Taster Sessions£24.00
2 taster sessions for Bright Young Things

BrightLights Acting Taster Sessions£24.00
2 taster sessions for BrightLights Acting School

BrightLights Theatre School Taster Sessions£46.00
2 taster sessions for BrightLights Theatre School

BrightLights Plus£46.00
2 taster sessions for BrightLights Plus

Total £0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Registration Form

PLEASE COMPLETE THIS FORM TO SECURE YOUR CHILDS PLACE

Parent/Carer Details

Please Choose the Class Required

Declaration by Parent/Carer