Registration Form

Student Registration Form

For the interest and safety of your child, please complete this form before the first day of term or the first class they attend if they join part-way through the term.

STUDENT

CLASS: DAY: TIME:

Last name: First name(s):

Date of Birth: School:

Address:

Postcode:

Telephone: E-mail:

PARENT OR LEGAL GUARDIAN

Surname: Forename: Title:

Address (if different from the student's)*:

Postcode*:

Telephone: Mobile:

E-mail: Relationship to student:

EMERGENCY CONTACT

Please may we have a number of a friend or relative who would be available to collect your child if necessary?

Name: Relationship to student:

Address:

Postcode:

Telephone: Mobile:

MEDICAL CONDITIONS OR SPECIAL REQUIREMENTS

Does your child have any medical conditions or personal requirements, which you would like Theatrix to be aware of, eg allergic reactions?

YES/NO?:

If YES, please give details or feel free to telephone us in confidence.*



SKILLS OR INTERESTS

Does your child have any qualifications, skills or interests that you would like to tell us about? These can be useful for class projects, productions or auditions, eg languages, musical instruments, dancing or sporting abilities.



SPECIFIC CONSENTS

Theatrix Performing Arts and Theatrix Productions additionally may wish to process other personal information for which they seek your prior consent.

Please confirm your consent to the following. NB You can grant your consent to all of the purposes, some of the purposes or none of the purposes. Where you do not grant your consent Theatrix will not be able to use your personal data. You can withdraw or alter your consent at any time by contacting the Theatrix Data Protection Officer.

CASTING AGENCIES

From time to time we are approached by casting agencies. Please indicate if you consent to us putting your / the child's name forward together with photograph and other personal details. If you ask us to contact you at the time, do recognise that delay in obtaining consent may cause the opportunity to be missed.

NEWSLETTER

Theatrix issues a newsletter detailing the achievements of its students or alumni termly. Please indicate your consent to your / the student's name, photographs achievements featuring in the Newsletter from time to time as appropriate

Please indicate your consent to receiving the newsletters after your child has left Theatrix

PUBLICITY AND PHOTOGRAPHY

Theatrix publicity for forthcoming productions may include poster, programmes, and website and Facebook/social media postings. Please indicate your consent to your / the student's photograph/short video or name appearing in such publicity




(*optional)

DECLARATION BY PARENT OR LEGAL GUARDIAN

I, being the Parent/Legal Guardian of (full name)
wish to accept a place with Theatrix

I understand that Theatrix reserves the right to ask any student to leave the school if their behaviour is disruptive and affecting the progress of the class.

I agree to pay the amount of the Invoice attached to the covering e-mail received with the reference to this Registration form, and agree to give a half term's notice in writing of my child's intention to leave Theatrix or to pay a half term's fees in lieu of notice.

Your Email address to which we will send an acknowledgement:  

Any information you send us will only be used in accordance with our Privacy Notice