Name of Student:
First Name
Last Name
Date of Birth:
Name of Parent/Guardian:
First Name
Last Name
Email address of the Parent/Guardian
Contact number of Parent/Guardian:
If there is an emergency with your child, we will call you on the telephone number you have provided, so please ensure this is up to date.
Address of Parent/Guardian:
In case of emergency, please provide 2 other contacts (names and numbers):
Please advise if the student has any allergies
Yes
No
If yes, please expand in the box below.
Is your child taking any medication: YES / NO
Yes
No
If yes, please expand in the box below.
Do we need to provide any extra help for your child (because of a disability)?
We will take all practicable steps, within the guidelines of the venues we hire, to be accessible to all.
Yes
No
If yes, please expand in the box below.
I understand that my child needs to follow the behaviour code and any safety rules so that Drama Llama Club can keep them and other children safe.
Yes
No
In accordance with GDPR guidance, please indicate whether you are happy to be contacted by Drama Llama Club with information about the club (e.g. club running dates etc) and other relevant information.
Yes
No
For all other, non-essential, Drama Llama Club communications, would you like to be contacted by (please tick your preferred channels below):
Mail
Yes
No
Text
Yes
No
Phone
Yes
No
Drama Llama Club would like to take photographs of the children enjoying their classes with a view to using these on the website or in advertising. Please advise whether you are happy for your child to be on the website or in any advertising campaigns:
Yes
No
Name of School & Class Number
Preferred Club Night