The Kent Stage Academy  -                                        01634 310633
Application Form              
Student Name
Gender
Male
Female
Address
Phone Numbers
Mobile
Emergency Contact Name & Number
Email
Date Of Birth
If under 16 name of consenting adult / relationship to child
School Name and Year
Required Class
Experience and Achievements
Medical/ Allergy Information
Permission to put your childs photo on our website or facebook
Yes
No
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