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DIARY OF A WIMPY KID AUDITIONS
Workshop registration form
Sign up for stardom!
Fields marked with a star are required for registration.
Workshop Date *
29 June - 4 July
6 July - 12 July
Child Name & Surname *
Date of birth*
Age*
6
7
8
9
10
11
12
13
14
15
16
School
Grade*
Grade 0
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Parent/guardian’s name *
Email *
Contact number 1 *
Contact number 2
Do you consent to your child’s image being featured on Fame Academy’s website, social media and promotion of Fame Academy
Yes
No
Any allergies or medical problems we should know about?
Banking details for payment:
Vicky Friedman
Nedbank
Savings Account no. 2756016713
Branch code 151105
By enrolling my child in the workshop, I the parent/guardian agree to release Fame Academy, its staff, and affiliates from any responsibility for claims or damages, including injury, death or disability that may arise from my child’s participation in the course*
I accept
Please upload your proof of payment for R2,000.00*
Would you like to be updated on future Workshops?
Yes
No
SUBMIT