Course Registration Form

Glitter-Arty 31-7-2021

Registration Form
Child’s Name

First NameLast Name
Birth Date

DayMonthYear
Gender
Email
example@example.com
Emergency Contact Number
School
Does your child have any additional/medical needs they may need support with?
Do you consent to your child being photographed during the session? (These may be used on social media)

YesNo
Should be Empty:

Glitter-Arty 31-7-2021