St Mary's 2024 Booking Form

Student Name*

First NameLast Name

Age / School attended*

AgeSchool Attended

Date / Week required*

Date

CONTACT DETAILS OF PARENT/GUARDIAN *

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid UK phone number

EMERGENCY CONTACTS DURING TRAINING PERIOD (if different from parent details above)*

First NameLast Name

EMERGENCY Phone Number (if different from parent details above)*

Please enter a valid UK phone number

Please indicate if student has any medical conditions*, allergies, learning or physical disabilities: *

Permission given for the administering of emergency first aid by qualified first aider (please tick)*

YesNo

Please tick here if you are willing to receive further information about DRCM courses.

Click to receive further info

COURSE TIMES AND VENUE INFORMATION

The venue is St Marys University, Waldergrave Road, Twickenham, TW1 4SX. Courses run from 9.00am to 2.00pm. DRCM will not be responsible for students outside these hours. It is suggested that students bring a packed lunch but there is a café on site (Does not accept cash). Please avoid bringing nut products.

*DRCM does not take responsibility for students ingesting foods they are intolerant of or for coming into contact with materials they may be allergic to. Responsibility for the administration of required medicines rests with students themselves and/or their parents. However, it is useful for us to know students’ needs in these matters.

DRCM does not accept responsibility for items or valuables lost or stolen while attending DRCM courses. We accept the right to expel any participants due to unacceptable behavior. Course participants may be taken outside of training venue under supervision for purposes of filming, reconnaissance, rehearsal or to visit working studios. DRCM retains right to alter/cancel course dates, venues and syllabus. DRCM owns the copyright of, and reserves the right to exhibit, all or part of films, programs and any other course content made in association with them at DRCM screening events and at cinemas, schools, film festivals, broadcast TV and relevant websites. To the extent where any copyright may not vest in DRCM you hereby assign such rights to DRCM for the full period of copyright including any renewals and extensions. DRCM may also use photographs from workshops and screenings for promotional use including online and electronic promotion. Please note for illustration purposes films with a group appropriate age certificate (e.g. ET, Home Alone, Jurassic park etc.) may be viewed in class under the supervision of adult tutors. Please inform us if this is not acceptable. Students causing disruption to groups/individuals by any means can be ejected from the course on the spot (students will be separated from group and supervised until the named parent/guardian has time to pick up from venue) Cancellations: For bookings cancelled more than 5 weeks in advance of start date - full refund; cancelled between 4-6 weeks – 75% refund; cancelled between 2-4 weeks - 50% refund; less than 2 weeks– no refund. Data: DRCM will not pass on any information provided on this form to third parties but may use it for its own marketing.*

Click to accept terms and conditions

Parent/Guardian Signature*

St Mary's University Twickenham 2025