Performing Arts Academy - May half term

Performing Arts Academy - May half term

Please complete the form in full and we will be in touch shortly with further information.
1st child*

First NameD.o.bLast Name
2nd child

First NameD.o.bLast Name
Parents name*

First NameLast Name
Parents E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Mobile number
Which days will your child(ren) be attending?

Tuesday 28th MayWednesday 29th MayThursday 30th MayFriday 31st MayAll 4 days
Do you require wrap around?

Tuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMi MAY BOOK SOME IN CLOSER TO THE TIME
Does your child require lunch buffet & snacks? (additional cost of £3.50 per child)

YESNO
Dietry requirements / allergies / medical information
Do you consent to Shout Out! taking photographs and video footage of your child taking part in the workshops to use for promotional purposes?

YesNo
Should be Empty: