top of page

1080x1080 Lovelo.PNG

Home
About
Our Classes
Enrol
Contact
More

Use tab to navigate through the menu items.

Centre Stage Dyslexia Enrolment Form

Pupil Name

Pupil Date of Birth

Parent/Guardian Email

Emergency Contact (Name):

Emergency Contact (Number)

Any medical conditions/medication?

Any information regarding your child's neurodiversity you would like us to know?

I consent to my child to being photographed/filmed for use within the following purposes (please tick): * Required

Internal Education (eg. during rehearsal process/class activities)

Live Performances (eg. to a public audience)

Digital Marketing (on our website, social media & email campaigns)

Print Marketing (printed adverts, flyers, posters)

None of the above

I accept terms & conditionsView Terms

Thanks for submitting!

Theater seats through curtains.. behind scene.jpg

Centre Stage Dyslexia

Subscribe Form

Thanks for submitting!

©2022 by Centre Stage Dyslexia. Proudly created with Wix.com

bottom of page