Easter Performing Arts club Registration form
Monday 3rd April - Friday 7th April 2023
Child 1
*
Name
D.O.B
Child 2
Name
D.O.B
Child 3
Name
D.O.B
Parent's details
*
Name
Phone number
Email address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Post code
Does your child require lunch buffet & snacks? (incl in the cost)
*
YES
NO
Which days will your child be attending? (minimum 2 days)
Monday 3rd
Tuesday 4th
Wednesday 5th
Thursday 6th
Friday 7th
Please let us know about any allergies/ medical information that may affect your child in their time with us. Incl any medication needed.
Do you consent to Shout Out! taking photos and Videos of your child to document the project and for marketing material?
*
YES
NO
Your child's place is not confirmed until your payment has been made.
I understand
Please do not complete this form more than once.
*
I understand
Submit
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