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Your first Name*

Last Name*

Your Email Address*

Confirm Email Address*

Phone Number*

Phone number 2 (in case of emergency)*

Your Child's FULL Name*

Child's Date of Birth (dd/mm/yyyy)*

Child's Gender Child's Gender Boy Girl

Which class do you want your child to participate to? Which class do you want your child to participate to? MUSICAL THEATRE - T4 - 4 to 7 year old MUSICAL THEATRE - T4 - 8 to 11 year old

Do you want to register a second child? Do you want to register a second child? Yes, please No, thank you

Child 2 FULL Name*

Child 2 Date of Birth (dd/mm/yyyy)*

Child 2 Gender Child 2 Gender Boy Girl

Which class do you want your child 2 to participate to? Which class do you want your child 2 to participate to? TERM 4 - 4 to 7 year old TERM 4 - 8 to 11 year old

Select your location: Select your location: Bald Hills, QLD (Wednesday) Rochedale, QLD (Tuesday) Paddington, QLD (Saturday)

Does any of the children registered above have any particular condition (medical or physical) that we should be aware of?

Free Trial & Newsletter Free Trial & Newsletter I would like to receive LVBA newsletter and events updates