Provisional Registration Form for Homework Club
Confidential registration for Homework Club at Limassol Theatre Arts School (LTAS)
Sign in to Google to save your progress. Learn more
What are you registering for? *
Required
Frequency of Attendance (Days per week) *
School year *
Parent/Guardian Name *
Name and Surname (Student 1) *
Date of Birth (Student 1) *
MM
/
DD
/
YYYY
School (Student 1) *
Name and Surname (Student 2) [Leave blank if no second child]
Date of Birth (Student 2) [Leave blank if no second child]
MM
/
DD
/
YYYY
School (Student 2) [Leave blank if no second child]
Clear selection
Name and Surname (Student 3) [Leave blank if no third child]
Date of Birth (Student 3) [Leave blank if no third child]
MM
/
DD
/
YYYY
School (Student 3) [Leave blank if no third child]
Clear selection
Family Address *
Area (E.g. Agios Athanasios, Polemidia etc) *
Post Code *
Email Address *
Confirm Email Address *
Primary Phone Number *
Student Phone Number
Emergency Name *
Emergency Phone Number *
How did you hear about us? *
Is there a medical condition or allergy that teachers need to be aware of? *
By ticking this box you accept to become part of our mailing list, to receive importantinformation regarding lessons, rehearsals and shows and promotional material.
If you do not wish for any photos or videos of your child to be published on our website/Facebook page/ group and YouTube channel, please tick the box
Please tick to accept the terms: I understand that the fees are to be paid monthly at the start of each month.• Written notice must be given before the end of the month if a student is not continuing the following month. Otherwise, fees for the next month will be incurred.• No refunds will be given for a student who leaves and does not complete the month paid for except in exceptional circumstances.• LTAS cannot accept any responsibility for any injuries/ accidents/ damage or loss of personal property while on the premises. *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms