SOLD OUT ENCANTO WORKSHOP

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PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD- WAITING LIST ONLY

Email *

First Name of Child *

Surname of Child

Date of Birth *

Age *

Please record in Years and Months e.g. 9 years 11 months

Parent / Guardian Name *

Emergency Contact Numbers *

Please provide two numbers

Payment method *

PLEASE AWAIT CONFIRMATION BEFORE MAKING PAYMENT

Bank: KINDRED YOUTH THEATRE, SANTANDER, ACCOUNT NUMBER: 92731410 SORT CODE: 090128 REF: ENCANTO (name)

IN FULL (£55)

Required

Payment Date (for office use) *

Consent to use Face Paint *

Yes

Required

IMAGE CONSENT *

To comply with the Data Protection Act 1998, we need your permission before we can photograph or make any recordings of your child during their time with the Kindred. By ticking the box below you are giving us permission to take photographs and use these images in various printed publications, window displays and our website. We may also make video recordings for monitoring, archive and sales purposes. From time to time, we may be visited by the media who may take photographs or film footage of rehearsals or a production. These images may appear in local or national newspapers, or on televised news programmes.

I give permission for Kindred to use my child’s image for publicity purposes

I do not do not give permission for my child’s image to be used.

Required

A copy of your responses will be emailed to the address you provided.

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