Registration Form

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Term Dates 2026-27
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Registration Form
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Please complete the details below to register for Doocot Drama sessions. Our team will be in touch shortly to confirm your place and share payment instructions.

Section 1: Personal Details

Full Name of Participant*

Preferred Name

Date of Birth*

Day

Month

Year

Address*

Parent/Carer Email*

School and Year Group*

Session Option*

Section 2: Emergency Contact Information

Primary Emergency Contact Name*

Relationship to Participant*

Primary Emergency Contact Number*

Secondary Emergency Contact Name

Relationship to Participant

Secondary Emergency Contact Number

Section 3: Medical Information & Support

Medical Conditions *

Allergies *

Accessibility / Learning Support Needs *

Section 4: Consent

Emergency Medical Treatment

I give permission for Doocot Drama staff to authorise emergency medical treatment or first aid for the participant if a parent/guardian cannot be reached immediately.*

Yes

Photo and Video Consent

I consent to photos/videos of the participant during performances and workshops being used for club promotional materials or website updates.*

Yes

Supervised Pick Up Option

I would like my child to be collected from Battlefield Primary by a Doocot Drama Team member and walked to the venue for 3.15pm start. I undertake to notify the team should my child be absent from school and not require this service.*

Yes

Collection Arrangements

I understand that the participant must be collected promptly at the end of the session unless prior written permission is granted for them to travel independently.*

Yes

Authorisation

I can confirm that all the information above is accurate and to give permission for the organisation to use it in an urgent situation*

Yes

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date*

Day

Month

Year

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