Welcome to Theatretrain Portsmouth!
Student Application Form 2021
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Child's Name *
Child's Age *
Child's Date of Birth *
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DD
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Child's Sex *
Child's T-Shirt Size (Please check measurements below) *
Captionless Image
Address *
Post Code *
Telephone Number *
Mobile Telephone Number
Email Address *
What school does your child attend? *
Name of Parent/Guardian *
Address of Parent/Guardian if different from above
Name of Emergency Contact (Additional person, not yourself) *
Emergency Contact's Telephone Number *
Does child have any known medical conditions/additional needs?
Child's Doctor's Name *
Doctor's Telephone Number
Permission for Theatretrain to seek medical advice/treatment in an emergency *
Permission for Child to leave Theatretrain unaccompanied at the end of the session *
Any additional full names of people authorised to collect child from Theatretrain at the end of the session
Permission for photographs and videos to be published involving your child in productions/classes *
How did you hear of Theatretrain? *
Signature: Please enter your initials below, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Please confirm you have read and agree to our Terms and Conditions of Membership, which was sent to you. *
Required
A COPY OF THIS INFORMATION WILL BE HELD BY THE INDIVIDUAL CENTRE AND BY HEAD OFFICE PLEASE ENSURE YOU ARE AWARE OF OUR PRIVACY POLICY THAT CAN BE SEEN ON OUR WEBSITE.
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