Yeovil Art Space Zine making workshop (5 & 12 Aug 2-4pm)

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Yeovil Art Space Zine making workshop (5 & 12 Aug 2-4pm) - Registration Form

Name of the participant *

Please select one of the following: *

Attending on your own over age of 18

Attending on your own between age of 12 - 17

Attending with a child between age 8-15

If you are age between 12 - 17, please give us the name and phone number of emergency contact and guardian

Email contact (Please give us email contact of your guardian if you are age between 12-17) *

Contact Telephone Number (Please give us emergency contact number of your guardian if you are age between 12-17) *

Any medical conditions you would like us to know in the case of the emergency? ,i.e. allergy, diabetes etc.

Are there any special educational needs that you would like us to know about?

Is there any access requirement? i.e. wheelchair user

Payment (£30) *

It is appreciated if you can make your payment before 31st July. Cancellation will not be possible after this date. You are entitled to a full refund should the programme be cancelled by us due to unforeseen circumstances.

Direct bank transfer to Eastville Project Space (Sort-code 60-24-37 A/C 16352041)

Pay by Paypal (Find us yeovilartspace@gmail.com)

Permission (GDPR requirements)

We may take photographs during the sessions for future use in publicity. Please select YES, if you are giving permission for us to use any photographs taken for publicity purposes.

Yes

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Terms and Conditions *

By completing this form, you agree with our terms and conditions. All the workshop leaders are DBS checked and work within the guidelines of the Yeovil Art Space Safeguarding policy. All workshop leaders and participants are expected to abide by the Yeovil Art Space health and safety requirements. *Privacy Policy & Data Protection* Information you provide in this form will only be used for communication and administration in relation to Yeovil Art Space and will not be shared with the third parties..

I agreed with the Terms and Condition

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