Young People (online)

Young People (online) Booking Form

Please complete the booking form below.
Click to select your course*
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All Sorts of Fun 10/5/21£15.00

Total £0.00
IMPORTANT INFORMATION

HEALTH & SAFETY:

We insist that all children taking part in online sessions are supervised by a responsible adult at all times.

Zoom:

Please familiarise yourself with zoom and keep microphones on mute when not participating in discussion. We encourage you to keep your camera on during the session, however this is optional.
Full Name of Child*

First Name Middle Name Last Name
Childs Date of Birth*

DayMonth Year
Current Address*

Street Address

Street Address Line 2

City County

Post Code Country
Name of Adult completing the form

First Name Last Name
Adult Email Address*
Phone Number*
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.
How did you hear about Artpocket*
Medical Details
Please let us know of any allergies/ medical conditions/medication
Other Information
Please advise us of other needs/requirements you may have
Second Adult Emergency Contact Details
Name *
Phone Number*
Email
I give consent for Artpocket to use images of my child personally in their marketing materials*

YesNo
I give consent for Artpocket to use images of my childs 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.

Should be Empty:

Young People (online) Booking Form