Musical Theatre Acting Through Song
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Student name *
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Parent/Guardian Name(s) (if under 18)
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Emergency contact name & number *
SGPA will from time to time take photographs and videos of students for promotional purposes both online via Social Media/our websites and offline on promotional material. Please tick the box below to confirm you are aware of this. *
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Has the student any medical condition (including allergies) that we should be aware of? If yes, please provide details including any medication taken: *
I understand that in the event of the student requiring medical attention, all reasonable efforts will be made to contact me (or the alternative emergency contact) at the contact numbers provided above. In the event of the student being ill or injured, I hereby consent to any emergency medical treatment that may be necessary in a situation where I cannot be contacted. I hereby authorise Sean Gilligan Performing Arts staff to communicate our consent to medical practitioners *
In accordance with the EU General Data Protection Regulation (GDPR) we advise that the above data is the only data that we hold and store (electronically and in paper format) in respect of each student. It is used to keep student records and to communicate regarding rehearsals/shows/activities within the school. We will NOT pass on this data to any third parties without your prior consent. Please tick this box to indicate that you have read and agree to this *
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If there is any other important information you need us to be aware of, please explain below *
A copy of your responses will be emailed to the address you provided.
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