Book a trial LAMDA class

Use the form to book a LAMDA trial in our weekend classes!

Parent's Name

First Name

Last Name

Email Address

Emergency Contact Number 1

Emergency Contact Number 2

Select location for class

Student's Name

Age & Year Group

Date of Birth

YYYY

Please send me information on upcoming classes.

Yes, I would like to be on your mailing list.

No, I do not want to receive emails.

Do you give us permission to photograph your Marketing and Social Media purposes? child/children for

Allergies (if any):

Medical Conditions (or medications being taken):

Does your child have any SEND or additional needs we should be made aware of?:

Anything else we should know

e.g. Allergies, additional needs

Does the student have permission to walk home alone after the LAMDA class has finished?

Authorised Adults

At Elizabeth Samuels, the safety and well-being of your child is very important to us. Please list all adults who are authorised to collect your child from class.

First Name

Last Name

First Name

Last Name

First Name

Last Name

Weekend LAMDA Trial

Book a trial LAMDA class