Apply for Music Arts Dance and Drama

Music Arts Dance and Drama. Held every Thursday 6.45pm - 8.30pm at Chorley C.C. and on tuesday at same time at Clayton Brook Village Hall. For young people aged 5-16.
Name/s*
Address1*
Town/City*
Postcode*
Telephone*
Email*
School*
Emergency contact details:
Name*
Address*
Town*
Telephone*
Medical Problems/Special Requirements/allergies (where appropriate please supply meds)
Please tick if you consent to your child being photographed for publicity/for your child to travel on mini bus. Ensure your child has appropriate clothing for their activity; we are not responsible for any damage