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Festive Performance
Thank you for signing up for our Festive Performance from Saturday 13th November - Saturday 18th December
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, за да запазите отговора си.
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* Указва задължителен въпрос
Имейл адрес
*
Вашият имейл адрес
Are you available every Saturday from 13th November-18th December (18th is the performance day). We understand things can come up short notice, but as far as you know, are you available?
*
Yes
No
Maybe
Saturday 13th November 12:30pm-2pm
Saturday 20th November 12:30pm-2pm
Saturday 27th November 12:30pm-2pm
Saturday 4th December 12:30pm-2pm
Saturday 11th December 12:30pm-2pm
Saturday 18th December 12:30pm-2pm
Yes
No
Maybe
Saturday 13th November 12:30pm-2pm
Saturday 20th November 12:30pm-2pm
Saturday 27th November 12:30pm-2pm
Saturday 4th December 12:30pm-2pm
Saturday 11th December 12:30pm-2pm
Saturday 18th December 12:30pm-2pm
Parent/carer's full Name?
*
Вашият отговор
Parents telephone number
*
Вашият отговор
Child's Full name?
*
Вашият отговор
*IF APPLICABLE* Child 2 name and age
Вашият отговор
*IF APPLICABLE* Child 3 name and age
Вашият отговор
Child's gender?
*
Female
Male
Prefer not to say
Child 1 age?
*
8
9
10
11
12
13
14
15
Child's date of birth?
*
ДД
.
ММ
.
ГГГГ
Home address
*
Вашият отговор
Postcode
*
Вашият отговор
Link to Sickle Cell
*
He/She has sickle cell
He/she brother or sister has sickle cell
His/her mum or dad has sickle cell
He/she has sickle cell trait
Hospital(s) your child attends
*
Вашият отговор
Photo and Film permission: I give permission to take pictures/films of my own child from home taking part in activities virtually...
*
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. instagram, facebook
To be used externally in documents, on advertising materials and for funders
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. instagram, facebook
To be used externally in documents, on advertising materials and for funders
Photo and film permission: I give permission for SCS to take pictures/film of my child taking part in activities virtually...
*
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. facebook, instagram etc
To be used externally in documents, on advertising materials and for funders
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. facebook, instagram etc
To be used externally in documents, on advertising materials and for funders
Would you like to volunteer with us?
*
Yes
No
Maybe
Do you have any ideas on what activities we can do in the future? If so then let us know
Вашият отговор
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