Street Magic Master Class Registration Form 2023

Street Magic Master Class Registration Form

Please complete one form for each participant.
Participant's Name*

First NameLast Name
Participant's Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Relationship to young person*
Contact Email*
Contact Number*
Emergency Contact Name*
Emergency Contact Number*
Medical Information
Please let us know about any medical conditions we should be aware of*
Doctor's Name*
Doctor's Phone Number*
Doctor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Special Needs (if you tick any boxes below, we will be in touch with you directly to discuss the support needs for your child):

Moderate Learning Difficulties (MLD)Severe Learning Difficulties (SLD)Physical - Sensory Special NeedsEmotional and Behavioural DifficultiesOther
Authorisation for pick up

Please indicate who you authorise to pick up your child on your behalf (other than parent/guardian or emergency contact)
Name
Contact Number
Name
Contact Number
Name
Contact Number
Consent
1. Retention of data. Please note that data given to us re your child will be destroyed after Edinburgh International Magic Festival 2023, except where an issue has arisen regarding health and safety, in which case this form will be held on file until the issue has been resolved.
2. Street Magic Master Class team will make every effort to ensure the safety and enjoyment of your child. However, if an accident or injury occur as a result of your child disregarding advice and instructions from a team member then the organisers of Edinburgh International Magic Festival cannot be held responsible.
3. In the event of an emergency where the Festival is unable to contact any of the emergency contacts I agree to the Street Maigc Master Class team authorising life saving emergency medical treatment.
4. Festival official photographers may be taking photos and videos for the future publicity – please let the Street Magic Master Class Team know if you do NOT wish your child to be photographed or filmed.

Having read and agreed to the points above I hereby give my consent for my child to attend the Street Magic Master Class.
Parent/Guardian Name*

First NameLast Name
Date*

DayMonthYear
Date
Signature

Clear
I would like to hear from Edinburgh International Magic Festival next year

yesno
Questions? Contact the Festival team on 0131 226 0006 or at info@magicfest.co.uk
Should be Empty:

Street Magic Master Class Registration Form

Medical Information

Authorisation for pick up

Consent