Customer forms

Holiday Workshop Registration Form

Name of Child/Young Person(Required)

Date of Birth(Required)

Name of workshop child/young person is attending(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Medical Needs and Emergency Procedures(Required)

Any special needs (medical, allergies, SEN or other relevant)

Any Other Relevant Information(Required)

(Behavioural, triggers, anything we may need to be aware of)

Name of Parent/Guardian/Carer(Required)

Relationship to Child/Young Person(Required)

Emergency Contact Number(s)(Required)

Contact Email(Required)

Enter Email Confirm Email

Permission for use of Photographs and Video Photography(Required)

Yes

We require parental/guardian permission for any photographs or video photography that we undertake for promotional, educational or merchandising purposes. Signing the declaration below gives your consent for your child to be photographed or filmed in any Courtyard production or workshop, images remain the property of The Courtyard for use solely for the above purposes. I consent to my child/ward being photographed or filmed for the purposes outlined above:

Customer forms

Holiday Workshop Registration Form

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