The Wonder Lab Academy

The Wonder Lab Academy stem club application form

5pm - 6pm, St Mary's Island Community Hall
Please read and complete the form carefully prior to submitting your application. All successful applicants will be notified prior to the start of the activities. Successful applications are based on first come first serve. If you are not successful on this application, please keep an eye out for our next round of activities where you will be given the opportunity to apply on behalf of your child.

IMPORTANT NOTICE

The Wonder Lab Project C.I.C is not liable for any personal injury, damage or loss that was not foreseeable, any personal injury, loss or damage not caused by our breach or negligence.
All information provided in this application will be stored for one year. If you have opted to join our mailing list, you will be required to unsubscribe to remove your contact email from our records. Photographs and video content however may be kept longer if used on social media or in local advertising. You may contact us directly via www.thewonderlabproject.com if you need your child's image taken off any of our platforms. Please also be aware that we will share this information with your child's school for safeguarding purposes. Further information of our privacy policy can be found at https://www.thewonderlabproject.com/privacy-policy
Form

Please complete all sections below.
Child's Full Name*

First NameLast Name
Child DOB*

MonthDayYear
Parent's Full Name*

First NameLast Name
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Alternative Emergency Contact*

First NameLast Name
Mobile No*
Information regarding gender, ethnic origin, race or religion are required for our compliance. The information is requested in order to provide data to our funders and to ensure our project enables an equal opportunity for all children.
Gender*

MaleFemale
Gender Identity*

MaleFemaleNon Binary
Ethnicity*
Religion*
Does your child have a disability or require extra care?*

YesNo
If yes, please provide details so we can best assist?*

0/300
Does your child have any allergies or dietary requests?*

0/300
The Wonder Lab Project is required to document all activities. Content will be added on our website and social media such as Facebook, YouTube, Instagram and local TV platforms. Please select the boxes you are happy for your child to appear in.*

PhotosVideographyWebsiteFacebookInstagramYouTubeLocal TV/AdvertisingNone of the Above
Are you interested in more of our activities, opportunities and private tuition? If so, please tick the 'yes' box below and we will add you to our mailing list to keep you updated with more activities and private tuition.
I would like to be added to the mailing list for updates on The Wonder Lab Project C.I.C.*

YesNo
I agree to the terms of of this application and confirm that I give permission for my child to attend The Wonder Lab Project after school activities.*

YesNo
Parent's Full Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Authorising Parent's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature*

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My Products*

STEM CLUB

£30.00 for each month

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

The Wonder Lab Project C.I.C committed to equal opportunity in providing activities. The organisation does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, or any other protected class.
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The Wonder Lab Academy stem club application form

Form

Authorising Parent's E-Signature