2023-2024 LEWIS TALENT AGENCY REGISTRATION

OFFICE ADDRESS: DRAMARAMA, MOUNT OVAL, ROCHESTOWN, CO. CORK

PHONE: 087 975 5764

EMAIL: lewistalentagent@gmail.com

Student Name

Parent / Gaurdian Name

Full Postal Address

Mobile Number

Email Address

Class Location

PPS Number

Nationality

Height cm

Eye Colour

Date of Birth

Age

Gender

Weight kg

Dental Braces?

Skin Type

Clothes Size UK

Waist cm

Inside Leg cm

Shoe Size UK

Hair Colour

Bust/Chest cm

Hair Length

Languages Spoken

Natural Accent

Accents Spoken Well

Skills, Sports and Hobbies

Medical History / Allergies

Please read our Child Protection Policy before registering. By completing this form it is understood that you agree with all sections.Child Protection Policy

I would like to be a member of Dramarama / Lewis Talent Agency. I have read the contract and will remain solely contracted to this agency from September 1, 2022 to August , 2023Contract

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