KBC SUMMER INTENSIVE Registration Form

KBC SUMMER INSTENSIVE!

Thank you for registering your interest in the KBC SUMMER INTENSIVE! Date: Monday 18th August - Friday 22nd August. Time 10-4pm PRICING: £150 For the entire week! Please fill out this form to register a place in the KBC SUMMER INTENSIVE. Once completed we will send a confirmation email with details of registration and payment attached no later than 5 working days.
Participant Information
Participant Name

First NameLast Name
Birth Date

MonthDayYear
Parent/Guardian Information
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the participant prescribed an inhaler? If yes, please explain any instructions.
We agree to provide the following :

*A professional service.
*High quality workshops.
*Appropriately experienced staff with the necessary checks, qualifications and insurance.
*A safe and friendly environment for learning.

In return for this commitment to you, we ask that you agree to our terms and conditions before your book one of our programmes. Please contact us at: katiebracecreatives@gmail.com if you have any questions before agreeing to the following terms and conditions.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature
Should be Empty:

KBC SUMMER INSTENSIVE!

Participant Information