LAMDA at Leighton Park School

PARENT / GUARDIAN DETAILS Unless otherwise stated, this is the person responsible for paying the fees

Name of parent/guardian*

Telephone No*

Email*

Enrolment details. If you require any more details please email dani@readingbetweenthelines.co.uk.

Name of first student*

Date of birth* (dd/mm/yyyy)

Gender*

Male   Female  

Name of second student

Date of birth (dd/mm/yyyy)

Gender

Male   Female  

Name of third student

Date of birth (dd/mm/yyyy)

Gender

Male   Female  

Medical conditions?

How did you hear about us?

Fields marked with * must be entered.

Once you submit your enrolment form we will be in touch with details of how to make payment.

By sending this form, I agree that photos of the above student(s) may be used for publicity purposes.

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Background image © Dani Davies
Reading Between the Lines Theatre Company
A company Ltd by guarantee registered with Companies House as RBL Theatre Company Ltd. Company number 08011990
E-mail - info@readingbetweenthelines.co.uk
Phone number 0118 984 4935
Postal Address - RBL Theatre Company, 153 Bourne Road, Reading, RG87JT