Kaos Registration Form

* denotes required fields

Child's First Name*
Child's Last Name*

Kaos Group* Kids' Kaos (Tuesday) West Lea (Wednesday) Blanche Nevile/Highgate (Thursday) Oganised Kaos (Thursday) Kaos Youth Music Theatre (Friday)

Date of Birth (month and year only)*

Does your child have any allergies? If yes, please give details.
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Please tell us about any special needs, medical issues, dietary requirements, and anything else we should know.
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Parent/carer First Name*
Parent/carer Last Name*
Emergency Phone Number 1*
Emergency Phone Number 2
email
Postcode* Address*
(Please add flat number etc if applicable)

Town*

Please check your information before clicking submit.