Bounce Youth Theatre (Earlsfield) Registration

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Starts 23rd January 2024 and runs until July 2024.

Home Café, St Andrews Church, Earlsfield, SW18 4SR. Tuesdays 4.00-5.30pm.

Email *

Participant Surname *

Participant Forename(s) *

Participant Date of Birth *

YYYY

Mailing Address

This is optional. For some projects we may have cause to post packs or items to participants.

Name of Parent/Guardian/Carer

If participant is under the age of 18

Parent/Guardian/Carer or Emergency Contact Telephone/Mobile *

Home Postcode *

Medical Conditions (Please let us know if the participant has any medical conditions/takes any medicine/have any allergies that you feel we should be aware of.)

Additional Needs (Bounce Theatre is an inclusive theatre company. Please state if the participant has any additional needs that you think we should be aware of to ensure they have the best experience.)

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