Simply print this page, fill it in - and post it back to us at Leanne Hughes Theatre School, 36 Hainault Avenue, Giffard Park, Milton Keynes, MK14 5PA.   When printed click here to go back to our home page

New Pupil Registration - Leanne Hughes Theatre School

Childs Name................................................................Date of Birth.......................................................................................Sex...............................................

Home Address................................................................................................................................................................................................................................

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Telephone Number.......................................................................................................................................................................................................................

Parent/Guardian Name...............................................................................................................................................................................................................

Home Address (if different).........................................................................................................................................................................................................

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Telephone Number......................................................................................................E-Mail......................................................................................................

EMERGENCY CONTACT DETAILS - MUST BE COMPLETED

Emergency Contact Name............................................................................................................................................................................................................

Home Tel.....................................................................Mobile Tel.............................................................Work Tel...................................................................

In the event of an emergency the above named person will be contacted.  If any of the details change, please inform us as soon as possible

Please sign and date to confirm all the above details are correct

Signed..................................................................................................................Date...................................................................................................................

 Please indicate the classes you would like to join. Upon reciept of this form we will contact you to advise you of availability

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