KYMUPPETS SUMMER WORKSHOP 2019

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PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD ATTENDING

First Name of Child *

Surname of Child

Date of Birth *

YYYY

Age *

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

Parent / Guardian Name *

Email address *

Emergency Contact Numbers *

Please provide two numbers

Payment method *

Please make payments to the following account: Bank: SANTANDER ACCOUNT NUMBER: 92731410 SORT CODE: 090128 REF: TMW19 (name)

IN FULL (£50)

Required

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 and Vivacity 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

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