Contact information
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Participant full name *
Carer/Parent/Guardian Full name *
Email ( participant/ parent/ guardian / carer)
*
Full address *
Postcode *
Phone number *
Emergency contact no *
Participant gender?
*
How did you hear about the SEND Programme?
*
Does the participant have any food allergies, etc?
*
What do you like to learn at Art Classes Group Studio? *
We would like to use images from the clubs activities for promotional purposes only, may we have your consent to use any images taken of your child?
*
Please click the submit buttom at the bottom of this form. *
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