Mini Voices: Ages 4-7
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Voices: Ages 12-18
Weekly Lessons Application Form
Theatre Weeks 2019
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Burntwood School Application Form
Free Trial Application
This form must be filled in by the parent / legal guardian of the named child applying for a Free Trial Lesson.
Child's Date of Birth
Please enter a number from
Address Line 2
Contact Telephone Number
By completing this field you are consenting to Little Voices contacting you by telephone to arrange a Free Trial Lesson for your child.
Contact Mobile Number
Which centre are you interested in attending?
Experience to date (eg.any relevant Examinations taken or performances etc.)
Please give details.
Are there any medical conditions or medication that your child is taking that we need to be aware of?*
Please give details.
Which school does your child attend?
How did you find out about Little Voices?
A friend or relative
A newspaper/website ad
A search engine (eg Google)
Emergency Contact Name
Please give a different emergency contact to you.
Emergency Contact Number
Please give a different emergency contact number than your own.
When is the best time for us to contact you?
Is there anything else you would like to tell us?
(eg are there any friends that currently attend Little Voices that your child would wish to be in a group with?)
I confirm that I am the parent / legal guardian for the child named above.
I consent to Little Voices contacting me with news by telephone, email, post and text, newsletters about the lessons, workshops, theatre weeks and events that it runs. I understand that my personal information is not shared outside of Little Voices for 3rd party marketing purposes. Personal data is only used in relation to Little Voices. I understand that I can withdraw my consent at any time by notifying Little Voices.
By submitting this form I give permission for the above named child to attend Little Voices for an introductory Free Trial Lesson at the venue and on the date confirmed once the application is submitted, approved and processed. I accept that any property that is lost or stolen on this date is not the responsibility of Little Voices. I confirm that all the information given is accurate. Little Voices cannot accept responsibility for any inaccurate information provided. I confirm that I will collect my child in person at the end of the Free Trial lesson. I understand that submission of a Free Trial Application Form and subsequent attendance at a Free Trial lesson is not a guarantee that Little Voices has a group available for my child to attend weekly lessons. I understand that I may be required to give more information to support my application. *more information and proof of examinations may be requested. **more information may be requested.
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0208 088 0113
Swaffield Primary School
St Ann's Hill
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