FILM SCHOOL OF NOTTING HILL Class Registration Form Please enable JavaScript in your browser to complete this form.STUDENT INFORMATIONFull Name *FirstLastLayoutDate of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeSchool Name (if applicable):PARENT/GUARDIAN INFORMATIONFull Name *FirstLastLayoutEmail *Phone NumberEmergency Contact Name & NumberSameDifferentLayoutNamePhone NumberCLASS SELECTIONPlease select the class(es) you will be attending:Mondays: Acting for screen club4:00-6:00pm5:00-6:00pm4:00-6:00pm (2h)Thursdays - Acting for screen club4:00-5:00pmThursdays - Directing and editing5:00-6:00pmPrivate 1-1 classesSaturday memberships (use any 3 Saturdays a month)10am-12pm Membership10am-12pm One-offHoliday Camp 5 days (full week)1 day2 day3 day4 dayMessage *MEDICAL & SAFETY INFORMATIONDoes the student have any medical conditions, allergies, or special needs we should be aware of?NoYesPlease Specify *PHOTO & VIDEO CONSENTWe may take photos/videos during classes for promotional purposes (e.g., website, social media). Do you consent to being included?Yes, I give permissionNo, I do not give permissionPAYMENT INFORMATIONSelect Term Fee *Regular Classes - £25/sessionHalf Term - £85/session(to be confirmed based on selected class/es)Payments to be made via *Bank TransferRevolutOtherRevolut Business Account Details: (to be provided upon confirmation)Type NameTERMS & CONDITIONSBy signing below, I confirm that: • I understand that all fees must be paid before the start of the term. • I will attend class regularly and notify the school in case of absence. • The Film School of Notting Hill is not liable for any injury or loss of personal belongings during class. Checkboxes *I read the T&C’s available on the websiteLayoutSignatureDateSubmit
