Half Term Workshop booking form

Child's name *

Date of birth*

Medical or special educational needs

Name of Parent / Carer

Email address*

example@example.com

Contact telephone number*

How did you hear about the workshop?*

We may wish to take photos and videos during the workshop. Please indicate below if you are happy for your child to be photographed or filmed, and in which context you are willing for the images to be used.

For teacher training purposesIn The Piano School's prospectus and other promotional publicationsOn The Piano School websiteOn social media (please note, we will never publish any additional identifying information, such as lesson times or what school children attend, with the image)On social media without namesIn The Piano School building (e.g. shopfront posters)

If you have any other requirements, please give details below.

The details collected on this form will be used to contact you with information about the workshop and to make you aware of The Piano School events that may be of interest to you. More information about how we process and share your data is given in our Privacy Notice.

I confirm that I have read the above Privacy Notice and agree to my data being processed as outlined in the policy. I understand that I can withdraw my consent at any time by emailing admin@thepianoschool.org.uk

I consent to being contacted by:

EmailPhoneText

My Products*

Easter Extravaganza!£7.50

Total £0.00

Easter Extravaganza Booking Form