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Registration/Consent Form
Fields marked with an * are required
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* Spørgsmålet er obligatorisk
Mailadresse
*
Din mailadresse
Young & Talented branch
*
Vælg
Oxford House, Bethnal Green
Theatre Peckham, Southwark
Student's Full Name
*
Dit svar
Age
*
Dit svar
Date of birth
*
DD
/
MM
/
ÅÅÅÅ
Gender
*
Vælg
Female
Male
Prefer not to say
Ethnicity
*
Vælg
Asian British / Bangladeshi
Asian British / Chinese
Asian British /Indian
Asian British / Other
Black British / African
Black British / Caribbean
Black British / Other
Dual Heritage
White British
White Other
Your own definition of your ethnicity*
*Your own definition of your ethnicity
Dit svar
Medical Details, Allergies & Medication
*
Dit svar
Disability / Needs
*
Dit svar
Present School
*
Dit svar
Student's email address
Dit svar
Parent/Guardian Full Name
*
Dit svar
Parent/Guardian Email Address
*
Dit svar
Parent/Guardian Phone Number
*
Dit svar
Parent/Guardian Address
*
Dit svar
Parent/Guardian Post Code
*
Dit svar
Emergency Contact Name (must be different from the name above)
*
Dit svar
Emergency Contact phone number (must be different from the name above)
Dit svar
Please answer the following statements
*
Yes
No
I give consent to the administering of any necessary medical attention
I give permission for my child to be photographed/ filmed for Y&T general publicity
I give permission for my child to go home alone
I have read and agree to the T&Cs
Yes
No
I give consent to the administering of any necessary medical attention
I give permission for my child to be photographed/ filmed for Y&T general publicity
I give permission for my child to go home alone
I have read and agree to the T&Cs
Best time to call
*
Morning
Afternoon
Evening
Påkrævet
Thank you for completing this registration form.
We will be in touch with further information on term dates and joining. There will be a £20 registration fee for all new joiners.
Dit svar
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