https://static.wixstatic.com/media/4919c9_bda0621130f8480b9271f7e9b3ef1e3c~mv2.png| Ariel Co Theatre |Jnr Musicality Choirs Joining Form

Ariel Company Theatre, Drama Academies & Costume Hire

Musicality Choir Joining Form

Student's Full Name

Student's DOB

Parents Name

Parents Email

Parents Phone

Full Address

Postcode

Emergency Contact Name

Relationship to child

Town

Emergency Contact Email

Emergency Contact Phone

Address

Post Code

Medical Information

Has your son/daughter had any serious illness, operation or accident in the last year? If so, please give details.

Has he/she had any illness during the past year? If so please give details.

Does he/she have any difficulty with a) hearing or b) eyesight

Are you aware of any problems of fainting attacks, tendency to nose bleeds etc, or allergies.

Yes

Does your child require any medicines, or special treatment about which the Organisation should be informed? If yes, please give details with instructions/actions that need to be taken in the event of an incident.

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