secretvenue@gmail.com
The Secret Venue, Pearson Street, Brierley Hill, DY5 3BL

Under 18 Events Registration Form

To attend our under 18s events you MUST register beforehand, we will then send a letter to your home address for your parents to view and sign. You will then need to bring that letter to the first session.

Child Details

Full Name
Date of Birth
Address Line 1
Address Line 2
City / Town
Postcode
E-Mail
Favourite Music Genre
Disabilities / Additional Needs

Parent / Carer Details

Full Name
E-Mail
Home Phone
Mobile

Other Contact (just in case)

Full Name
Mobile

Submitting this form will be considered acceptance of the terms and conditions. Click here to read the terms and conditions.

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