Drama Workshop Form – Ultimate Blogging Championship

Holiday Drama Workshop

Student

Parent

Workshop

Permissions

Last Page

Full Name *

Date Of Birth *

Age ( 5-16 ) *

School Name

Additional Needs or Medical Information

Any Allergies

Parent Name *

Relationship to Student *

Email Address *

Phone Number *

Emergency Contact Number *

Which Workshop are you booking? *

Please briefly describe

Permissions

I give permission for my child to be photographed/filmed by Speak Act Move. I understand that photos will be kept for publicity purposes in accordance with the data protection act and Speak Act Move’s child protection policy where my child's name will not be used and associated with their image

Drop-off and Collection arrangements

Agreement22

I confirm I have read and agree to the Terms & Conditions *

I understand the workshop fee is payable in advance *

Date