Holme Grange School Enrolment

Student's first name*

Student's last name*

Student's date of birth (dd/mm/yyyy)*

Students form/tutor group*

Gender* Gender* Female Male Other

Are you interested in LAMDA or Trinity lessons? Are you interested in LAMDA or Trinity lessons? LAMDA Trinity

Would you like lessons to be in a small group, paired with another student or solo? Would you like lessons to be in a small group, paired with another student or solo? Small group (£100 per term) Paired (£260 per term) Solo (£340 per term)

Parent/Guardian details. Unless otherwise stated, this is the person responsible for paying the fees. Parent/Guardian details. Unless otherwise stated, this is the person responsible for paying the fees.

Parent/Carer First Name*

Parent/Carer Last Name*

Phone Number*

Email address*

Home address*

Does the student have any special needs or learning difficulties?

Does the student have any medical conditions or allergies we should know about?

Has the student previously completed any LAMDA exams? (Please provide details)

I agree to receiving communications for Trial days, enrolment details, theatre school, shows, invoices, workshops and newsletters.*