Student full name *Student date of birth *Parent or guardian name *Parent or guardian email address *Parent or guardian phone number *Please provide mobile or fixed line phone numberIs there anything else you would like us to know? i.e. dietary requirements, medical considerations etc.Have any contact details changed since you last registered? *YesNoPlease detail contact detail changes belowHow would you like to pay registration fees? *I would like to pay the full $275 nowI would like to pay Term 1 fees of $95 nowOn the first day of termFees for the full year are $275 – this includes the full years tuition as well as their membership to Ipswich Little Theatre. This can be paid in full or $95 for Term 1 and $60 per term for the remaining 3 terms. Fees are due by the first day of class each term.Payment Details *Commitment Outline *By submitting this form, I acknowledge that I have read and understood the Ipswich Little Theatre Youth Theatre Commitment Outline and agree to abide by the policies, expectations, and requirements outlined.Submit