Free Trial Form Enquiry Form CHILDS FULL NAME: (required) CHILDS AGE AND DATE OF BIRTH: (required) PARENT/GUARDIAN NAME AND RELATIONSHIP TO CHILD: (required) CONTACT NUMBER 1: (required) CONTACT NUMBER 2: (required) EMAIL ADDRESS: (required) DOES YOUR CHILD HAVE ANY MEDICAL/ALLERGIES/LEARNING NEEDS: (required) WHICH CLASS WOULD YOU LIKE TO BOOK A FREE TRIAL FOR: (required) (Act 1 Musical Theatre, Act 2 Musical Theatre, Diddi Debuts) PLEASE SELECT A DATE FOR YOUR FREE TRIAL: (required) DO YOU AGREE TO PHOTOGRAPHY/VIDEO TO BE TAKEN: (Yes/No) (required) ANY QUESTIONS OR OTHER COMMENTS: (required) 1+5=?