Youth Theatre Summer Academy
Aug 10th to 14th 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.
Format: 00000000000.
Additional Emergency contact no
*
Please enter a valid phone number.
Format: 00000000000.
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
£
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.
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