Adult Application

CONTACT DETAILS

Forename*
Surname*
Prefered Name
(This is the name you prefer to be known as)
Date of Birth*	--
Address*
Postcode*
Phone*
Email*

ALTERNATIVE CONTACT

Title
Forename
Surname
Relationship
Phone

OTHER RELEVANT INFORMATION

Please specify which classes you would like to apply forAdults Ballet Adults Commercial
If you have any medical conditions you feel we should know about please enter them below

Please give details of any performing arts experience you may have, including examinations taken, school productions, etc.

How did you hear about us?*

By clicking send I confirm that the details shown above are correct to the best of my knowledge, I have read and agree to the Terms and Conditions and I wish to apply to CentreStage Theatre School MK.

*indicates required fields

PRIVACY INFORMATION

The information given on this form will be used for administration purposes only at CentreStage Theatre School MK. It will not be disclosed to any third parties.