Workshop Registration Form

Workshop Registration

Complete form below to signup for the workshop.
Parent/Carer's Name*

First NameLast Name
Participant's Name*

First NameLast Name
Second Participant Name (If Required)

First NameLast Name
Child's Age
If applicable include all ages in the box
E-mail*
example@example.com
Contact Number*

Area CodePhone Number
What activity have you booked for?*
Which date have you booked your activity for?*

MonthDayYear
Date
Any illnesses/medical history or dietary requirements we should be made aware of?*
I am happy for my child/myself to be photographed for the use of marketing purposes only.
I give my/my child consent to take part in the activity(s) agreed. Including outdoor offsite time as part of the workshop day. I understand and accept that no responsibility for accidents or injuries or loss or damage to personal property rests with the staff, unless proven to be caused by their negligence. I declare that to the best of my knowledge I am/my child is competent and medically fit to participate in the activity(s) agreed. I agree that medical treatment will be given if necessary and in case of emergency. I understand the information from this activity may be stored digitally.*

Clear
I have read and understood the information above*

Yes
How did you hear about the workshop?

WebsiteFriend/ColleagueOnline SearchSocial MediaOther
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