Does the participant have any medical issues or dietary restrictions that we should be aware of? *
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Emergency Contact Number *
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Parent/Guardian Name *
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When would you like to attend? (No booking is confirmed until you have heard from a member of the UP team)
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Please select the location of the Light UP class you'd like to book. *
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Abbotswood
Bitterne
Chandler's Ford
Dibden Purlieu
Fareham - Home Education
Gosport
Hamble
Park Gate
Shirley
Southampton - Home Education (at Masker's Theatre, Shirley)
Warsash
Other (not currently listed)
Please select the group you are booking on for: *
How did you hear about us?
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From time to time, we will take pictures or videos in class to document student engagement, performances or to document accomplishments. Do you give us consent to use these images?
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