Short Courses (online)

Short Courses (online) Booking Form

Please complete the booking form below.
Click to select your course*
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Zoom In 10/01/23£60.00

Finding your Focus 09/01/23£48.00

Express yourself 17/04/23£48.00

Total £0.00
IMPORTANT INFORMATION

We use the platform Zoom for online workshops, please note on occasions we may record sessions. You can keep anonymity by switching off your camera.
Full Name*

First Name Middle Name Last Name
Date of Birth*

DayMonth Year
Current Address*

Street Address

Street Address Line 2

City County

Post Code Country
Email Address*
I would like my email contact to be added to Artpocket mailing list.*

YESNO
By joining our mailing list you are agreeing to receive correspondence from Artpocket only. We never sell or pass on your information to third parties and you will only ever receive correspondence relating to Artpocket. You can also unsubscribe at any time via the links provided in the footer of every email we send.
Phone Number*
How did you hear about Artpocket*
How would you describe your prior creative experience/skills?*

I am a total noviceI have some previous experienceI have tried lots of different thingsExperienced, but have not been creative for some timeI regularly make/craft/create
Medical Details
Please let us know of any allergies/ medical conditions/medication
Other Information
Please advise us of other needs/requirements you may have
Emergency Contact Details
Name *
Phone Number*
Email
Are you happy for artpocket to release and receive updated information from your emergency contact?*

YesNo
I give consent for Artpocket to use images of me personally in their marketing materials*

YesNo
I give consent for Artpocket to use images of my creative work in their marketing materials*

YesNo
I confirm that the details I have given on this form are accurate and complete.

I agree to comply with Artpocket policies and procedures.
Today's Date*

DayMonth Year

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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Short Courses (online) Booking Form