Booking Form Weekly Drama Classes Year K – 6

Parent/Carer

First name *

Last name *

Phone *

Your Email *

2nd Parent/Carer

First name *

Last name *

Phone *

Your Email *

Student

First name *

Last name *

Age (must be a value no lower than 5) *

Date of birth *

School *

Program/Workshop attending*
Term 1Term 2Term 3Term 4

Program*
Drama Year K-3 Tuesday 4:00 - 5:00pm Earlwood Uniting ChurchDrama Year 3-6 Tuesday 5:00 - 6:00pm Earlwood Uniting ChurchDrama Year K-4 Thursday 3:15 - 4:15pm Tempe PS

Does your child have any allergies?
YesNo

Does your child have a diagnosis?
YesNo

Does your child have any support needs?
YesNo

How did you hear about us?
Flyer at schoolBanner at schoolSchool newsletterInternetFriendOther

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