Name of Child *

First Name

Last Name

Gender: *

Female

Male

Other

Prefer not to say

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Permission to administer First Aid (tick box): *

I confirm

Please check the box below regarding your child being photographed / filmed for future marketing purposes or social media: *

I consent

I do not consent

I consent to my personal information being processed by Starmaker Performing Arts. (Please tick the box below to confirm your consent opt-in.) For more information on how we use your personal data, please click the "Privacy Policy" link. *

I have read and understood the Privacy Policy and I consent to being contacted by Starmaker Performing Arts.

I'd like you to contact me *

via email

via phone

either of the above